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JYOTHI MATTA M.D.
NPI 1073523684
Pediatrics - Pediatric Cardiology in Louisville, KY

Active since August 08, 2006PECOS Enrolled
100/100
CMS Quality Rating
411 E CHESTNUT ST # 5A, LOUISVILLE, KY 40202(502) 588-7450(502) 588-7728 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2020, Apr 17, 2020, Mar 12, 2020 (3 updates tracked since 2020).

About Jyothi Matta M.d. NPPES

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

JYOTHI MATTA M.D. (NPI 1073523684) is an individual pediatric cardiology provider in Louisville, Kentucky, licensed in Kentucky (43892) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073523684
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameJYOTHI MATTACredential: M.D.
Location Address411 E CHESTNUT ST # 5ALouisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 588-7450
Fax(502) 588-7728
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1073523684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in KY · 43892
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
411 E CHESTNUT ST # 5A, Louisville, KY 40202
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary J Matta Md

Other Identifiers 3

Medicaid7100127790KY
Medicaid036115369 1IL
Medicaid200998450IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jyothi Matta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jyothi Matta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
Same address
Neurology
401 E CHESTNUT ST, SUITE 510
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1063778744 (502) 589-0802
Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. MARY T KILLIAN MD
Pediatrics (Pediatric Cardiology)
411 E CHESTNUT ST # 5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-7450
AMY ELIZABETH DIPIETRO M.D.
Pediatrics (Pediatric Cardiology)
411 E CHESTNUT ST # 5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-7450
MRS. JESSICA MARIE STONE PA-C
Physician Assistant
411 E CHESTNUT ST # 5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-7450
MEGAN ELIZABETH PLATZ REECE RD
Dietitian, Registered
411 E CHESTNUT ST # 5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-7450
LAUREN SYMONE TALLEY MD
Pediatrics (Pediatric Cardiology)
411 E CHESTNUT ST # 5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-7450
ANDREA NICOLE LAMBERT M.D.
Pediatrics (Pediatric Cardiology)
411 E CHESTNUT ST # 5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-7450
SHELBY LOUISE MANGEOT
Nurse Practitioner (Family)
411 E CHESTNUT ST # 5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-7450
CHRISTOPHER LARS JOHNSRUDE MD
Internal Medicine (Clinical Cardiac Electrophysiology)
411 E CHESTNUT ST # 5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-7450

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 Jyothi Matta's NPI number?

The NPI number for Jyothi Matta is 1073523684. It was assigned to this individual provider in the NPPES registry on August 8, 2006. The provider is also known as Mary J Matta MD.

Where is Jyothi Matta located?

Jyothi Matta practices at 411 E Chestnut St # 5A, Louisville, KY 40202. The listed phone number is (502) 588-7450.

What is Jyothi Matta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jyothi Matta enrolled in Medicare?

Yes. Jyothi Matta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jyothi Matta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jyothi Matta reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each 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 Jyothi Matta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jyothi Matta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jyothi 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.

When was this NPI record last updated?

The NPPES record for Jyothi Matta was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.