OBDULIO GONZALEZ MATA
NPI 1164138426
Counselor - Mental Health in Coral Gables, FL
About Obdulio Gonzalez Mata NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OBDULIO GONZALEZ MATA (NPI 1164138426) is an individual mental health provider in Coral Gables, Florida and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Obdulio Gonzalez Mata 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.
Medicare Billing Reassignment
Medicare enrollment records show Obdulio Gonzalez Mata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Florida enrollment
- 3,079 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORAL GABLES, FL 33146
CORAL GABLES, FL 33146
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 Obdulio Gonzalez Mata's NPI number?
The NPI number for Obdulio Gonzalez Mata is 1164138426. It was assigned to this individual provider in the NPPES registry on January 30, 2023.
Where is Obdulio Gonzalez Mata located?
Obdulio Gonzalez Mata practices at 4649 Ponce De Leon Blvd Ste 404, Coral Gables, FL 33146. The listed phone number is (786) 536-9714.
What is Obdulio Gonzalez Mata's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Obdulio Gonzalez Mata enrolled in Medicare?
Yes. Obdulio Gonzalez Mata 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.
Which organization bills Medicare for Obdulio Gonzalez Mata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Obdulio Gonzalez Mata reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Obdulio Gonzalez Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Obdulio Gonzalez Mata accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Obdulio Gonzalez 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 Obdulio Gonzalez Mata was last updated on August 7, 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.
# Obdulio Gonzalez Mata · NPI 1164138426
Mental Health provider in Coral Gables, Florida. Individual provider, active in the CMS NPPES registry since January 30, 2023.
## Identity
- **NPI:** 1164138426 (Entity type: Individual)
- **Enumerated:** January 30, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 4649 PONCE DE LEON BLVD STE 404, Coral Gables, FL 33146-2121
- **Phone:** (786) 536-9714
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1164138426) · Data from the CMS NPPES public registry.