NAMITA MATTU
NPI 1073130506
Psychiatry & Neurology - Child & Adolescent Psychiatry in Charlestown, MA
About Namita Mattu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAMITA MATTU (NPI 1073130506) is an individual child & adolescent psychiatry provider in Charlestown, Massachusetts, licensed in California (187312) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Namita Mattu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Namita Mattu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Namita Mattu's NPI number?
The NPI number for Namita Mattu is 1073130506. It was assigned to this individual provider in the NPPES registry on June 30, 2020.
Where is Namita Mattu located?
Namita Mattu practices at 275 Medford St Apt 216, Charlestown, MA 02129. The listed phone number is (510) 289-0826.
What is Namita Mattu's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Namita Mattu enrolled in Medicare?
Yes. Namita Mattu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Namita Mattu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Namita Mattu reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Namita Mattu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Namita Mattu was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Namita Mattu · NPI 1073130506
Child & Adolescent Psychiatry physician in Charlestown, Massachusetts. Individual provider, active in the CMS NPPES registry since June 30, 2020.
## Identity
- **NPI:** 1073130506 (Entity type: Individual)
- **Enumerated:** June 30, 2020
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 187312 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 MEDFORD ST APT 216, Charlestown, MA 02129-1989
- **Phone:** (510) 289-0826
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073130506) · Data from the CMS NPPES public registry.