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

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

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: July 19, 2026.

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

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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 and is a graduate of Other (1996).

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

Medical School CMSOtherGraduated 1996

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

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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 from Home State Health, Ambetter from Meridian and more.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

Jyothi 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 ID5395869259

PECOS Enrollment IDI20100830000086

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 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 Interoperability

100

Improvement Activities

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.

LUCINDA T WRIGHT MD

Pediatrics (Pediatric Cardiology)