1. Home
  2. Directory
  3. Texas
  4. Humble
  5. Internal Medicine
  6. NPI Profile

DR. ATUL MATTA M.D.
NPI 1013398940
Internal Medicine - Pulmonary Disease in Humble, TX

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
1702 FM 1960 BYPASS RD E, HUMBLE, TX 77338(281) 446-7173(281) 446-3841 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Jul 16, 2019 (2 updates tracked since 2019).

About Dr. Atul Matta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ATUL MATTA M.D. (NPI 1013398940) is an individual pulmonary disease provider in Humble, Texas, licensed in Texas (T5168) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains a secondary practice location in Humble.

NPPES Registry Identity

NPI1013398940
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ATUL MATTACredential: M.D.
Location Address1702 FM 1960 BYPASS RD EHumble, TX 77338-3916
Mailing Address1702 Fm 1960 Bypass Rd EHumble, TX 77338-3916 · (281) 446-7173 · Fax (281) 446-3841
Phone(281) 446-7173
Fax(281) 446-3841
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 16, 2015
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1013398940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · T5168
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License T5168 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License T5168 (TX)
1702 FM 1960 BYPASS RD E, Humble, TX 77338
Open in Google Maps ↗

Secondary Practice Location 1

Location 117903 W Lake Houston Pkwy Ste 201Humble, TX 77346-3954 · Phone (281) 446-7173 · Fax (281) 446-3841

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Atul Matta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961791348
PECOS Enrollment IDI20220909002832
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
199 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLSPIRE PRIMARY CARE, PLLC
Internal Medicine
1702 FM 1960 BYPASS RD E
HUMBLE, TX 77338
Harris County (281) 446-7173
DR. CHRISTOPHER OGUAYO M.D.
Orthopaedic Surgery
1702 FM 1960 BYPASS RD E
HUMBLE, TX 77338
Harris County (281) 446-7173
DR. NILAY MEHTA DO
Internal Medicine (Cardiovascular Disease)
1702 FM 1960 BYPASS RD E
HUMBLE, TX 77338
Harris County (281) 446-7173
RUCHIR PATEL MD
Internal Medicine (Interventional Cardiology)
1702 FM 1960 BYPASS RD E
HUMBLE, TX 77338
Harris County (281) 446-7173
SYBIL LESLIE CHAMBERLAIN APRN, FNP-C
Nurse Practitioner (Family)
1702 FM 1960 BYPASS RD E
HUMBLE, TX 77338
Harris County (281) 446-7173
NHI NGOC LE MD
Family Medicine
1702 FM 1960 BYPASS RD E
HUMBLE, TX 77338
Harris County (281) 446-7173
WELLSPIRE SPECIALTY, PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1702 FM 1960 BYPASS RD E
HUMBLE, TX 77338
Harris County (281) 446-7371
TEJAS NAVNIT MEHTA MD
Internal Medicine
1702 FM 1960 BYPASS RD E
HUMBLE, TX 77338
Harris County (281) 446-7173

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atul Matta's NPI number?

The NPI number for Atul Matta is 1013398940. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Atul Matta located?

Atul Matta practices at 1702 Fm 1960 Bypass Rd E, Humble, TX 77338. The listed phone number is (281) 446-7173.

What is Atul Matta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Atul Matta enrolled in Medicare?

Yes. Atul Matta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Atul Matta accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Atul Matta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Atul Matta affiliated with any hospitals?

According to CMS data, Atul Matta is affiliated with Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital, Memorial Hermann Northeast Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Atul Matta was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.