DR. MARVIN BARCO MATA M.D.
NPI 1124281852
Pediatrics - Pediatric Critical Care Medicine in Lafayette, LA

Active since July 02, 2008PECOS Enrolled
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508(337) 470-2605(337) 470-4595 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marvin Barco Mata M.d. NPPES

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

DR. MARVIN BARCO MATA M.D. (NPI 1124281852) is an individual pediatric critical care medicine provider in Lafayette, Louisiana, licensed in Louisiana (MD203581) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1124281852
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. MARVIN BARCO MATACredential: M.D.
Location Address4600 AMBASSADOR CAFFERY PKWYLafayette, LA 70508-6902
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (337) 470-2605 · Fax (225) 765-9196
Fax(337) 470-4595
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
NPI 1124281852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in LA · MD203581
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
4600 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508

Secondary Practice Location 1

Location 1211 4th StAlexandria, LA 71301-8421 · Phone (315) 464-5800

Other Identifiers 2

Medicaid2120336LA
Other1124281852LA · Blue Cross Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Marvin Barco Mata 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.

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.

Radiology (Diagnostic Radiology)
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Pediatrics (Pediatric Critical Care Medicine)
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Pediatrics (Neonatal-Perinatal Medicine)
4600 AMBASSADOR CAFFERY PKWY, WOMEN'S AND CHILDREN'S HOSPITAL
LAFAYETTE, LA 70508
Obstetrics & Gynecology
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Pharmacist
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Hospitalist
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
General Acute Care Hospital
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Pediatrics
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508

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 Marvin Mata's NPI number?

The NPI number for Marvin Mata is 1124281852. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Marvin Mata located?

Marvin Mata practices at 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508. The listed phone number is (337) 470-2605.

What is Marvin Mata's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Marvin Mata enrolled in Medicare?

Yes. Marvin Mata is registered in the Medicare PECOS enrollment system.

What insurance does Marvin Mata accept?

Health plans from Blue Cross Blue Shield of Arizona, HMO Louisiana and Oscar Health Plan, Inc. list Marvin Mata 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 Marvin Mata was last updated on August 2, 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.