MR. ENRIQUE MATTA IV CRNA
NPI 1366828824
Nurse Anesthetist, Certified Registered in Orlando, FL

Active since August 07, 2015PECOS EnrolledAccepts Medicare Assignment
601 E ROLLINS ST, ORLANDO, FL 32803(407) 667-0444(407) 667-4338 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Enrique Matta Iv Crna NPPES

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

MR. ENRIQUE MATTA IV CRNA (NPI 1366828824) is an individual nurse anesthetist, certified registered in Orlando, Florida, licensed in Florida (ARNP9247836) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366828824
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ENRIQUE MATTA IVCredential: CRNA
Location Address601 E ROLLINS STOrlando, FL 32803-1248
Mailing Address291 Southhall LnMaitland, FL 32751-7274 · (407) 667-0444 · Fax (407) 667-4338
Fax(407) 667-4338
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 7, 2015
✔ NPI 1366828824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · ARNP9247836
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
601 E ROLLINS ST, Orlando, FL 32803

Other Identifiers 3

OtherPENDINGFL · Bcbs
MedicaidPENDINGFL
Medicare PINPENDINGFL

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

Mr. Enrique Matta Iv Crna 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 ID5092023648
PECOS Enrollment IDI20181008002203
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

13

Medicare enrollment records show Enrique Matta reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
Vascular & Interventional Radiology
8075 SPYGLASS HILL RD
Melbourne, FL 32940
  • Reassigned Medicare billing, Florida enrollment
  • 378 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida enrollment
  • 1,887 clinicians in this Medicare group
Anesthesiology
1670 EAGLE HARBOR PKWY
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 876 clinicians in this Medicare group
Anesthesiology
1305 WALT WHITMAN RD STE 300
Melville, NY 11747
  • Reassigned Medicare billing, Florida enrollment
  • 628 clinicians in this Medicare group
Hematology & Oncology
127 NORTH ST, SECOND FLOOR
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Clinical Medical Laboratory
160 ELMGROVE PARK
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 20

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

Advanced Practice Midwife
601 E ROLLINS ST
ORLANDO, FL 32803
Radiology (Diagnostic Radiology)
601 E ROLLINS ST
ORLANDO, FL 32803
Internal Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Pediatrics (Neonatal-Perinatal Medicine)
601 E ROLLINS ST
ORLANDO, FL 32803
Nurse Anesthetist, Certified Registered
601 E ROLLINS ST
ORLANDO, FL 32803
Emergency Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Hospitalist
601 E ROLLINS ST
ORLANDO, FL 32803
Pharmacist
601 E ROLLINS ST
ORLANDO, FL 32803

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 Enrique Matta's NPI number?

The NPI number for Enrique Matta is 1366828824. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Enrique Matta located?

Enrique Matta practices at 601 E Rollins St, Orlando, FL 32803. The listed phone number is (407) 667-0444.

What is Enrique Matta's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Enrique Matta enrolled in Medicare?

Yes. Enrique Matta 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 organizations bill Medicare for Enrique Matta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enrique Matta reassigns Medicare benefits to 13 organizations: Us Anesthesia Partners Of Florida Inc. (Maitland, FL), Brevard Physician Associates, PLLC (Melbourne, FL), Anesthesia Dynamics LLC (Bradenton, FL), Fleming Island Anesthesia LLC (Orange Park, FL), American Anesthesiology Services Of Florida, Inc. (Melville, NY) and 8 more organizations, listed in the Medicare section above. 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 Enrique Matta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Enrique Matta affiliated with any hospitals?

According to CMS data, Enrique Matta is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Enrique Matta was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.