ANGELA FAY MATA MD
NPI 1366623704
Pediatrics in Detroit, MI

Active since November 14, 2007PECOS Enrolled
22201 MOROSS RD STE 270, DETROIT, MI 48236(313) 343-3481(313) 343-7937 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angela Fay Mata Md NPPES

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

ANGELA FAY MATA MD (NPI 1366623704) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4301086164) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366623704
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANGELA FAY MATACredential: MD
Location Address22201 MOROSS RD STE 270Detroit, MI 48236-2175
Mailing Address22201 Moross Rd Ste 270Detroit, MI 48236-2175 · (313) 343-3481 · Fax (313) 343-7937
Fax(313) 343-7937
Sole ProprietorNo
Enumeration DateNovember 14, 2007
Last NPPES UpdateJune 25, 2014
NPI 1366623704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in MI · 4301086164 Licensed in OH · 35097933
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

22201 MOROSS RD STE 270, Detroit, MI 48236

Other Names 1

Other Name (5)Angela Fay Mata-angelocci Md

Other Identifiers 7

Other07249OH · Paramount
Medicare PIN0M71670MI
Medicare PINH024900OH
Other0H208910MI · Blue Cross Group
Other9761739OH · Aetna
Other72300OH · Meridian
Medicaid0053325OH

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)

Angela Fay Mata Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Pediatrics
22201 MOROSS RD STE 270
DETROIT, MI 48236
Pediatrics
22201 MOROSS RD STE 270
DETROIT, MI 48236
Pediatrics
22201 MOROSS RD STE 270
DETROIT, MI 48236
Pediatrics
22201 MOROSS RD STE 270
DETROIT, MI 48236

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 Angela Mata's NPI number?

The NPI number for Angela Mata is 1366623704. It was assigned to this individual provider in the NPPES registry on November 14, 2007. The provider is also known as Angela Fay Mata-Angelocci MD.

Where is Angela Mata located?

Angela Mata practices at 22201 Moross Rd Ste 270, Detroit, MI 48236. The listed phone number is (313) 343-3481.

What is Angela Mata's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Angela Mata enrolled in Medicare?

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

What insurance does Angela Mata accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Angela 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 Angela Mata was last updated on June 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.