LUMARY MATOS P.A.
NPI 1417496522
Physician Assistant - Medical in Kissimmee, FL

Q: What is Lumary Matos's NPI number?

The NPI number for Lumary Matos is 1417496522. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Q: What is Lumary Matos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lumary Matos was last updated on December 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 22, 2017PECOS Enrolled

931 W OAK ST STE 103, KISSIMMEE, FL 34741(407) 931-0444(407) 962-4446 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2019, Feb 22, 2017 (2 updates tracked since 2017).

On this page

About Lumary Matos P.a. NPPES

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

LUMARY MATOS P.A. (NPI 1417496522) is an individual medical provider in Kissimmee, Florida, licensed in Florida (PA9110209) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417496522

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLUMARY MATOSCredential: P.A.

Location Address931 W OAK ST STE 103Kissimmee, FL 34741-4973

Mailing Address931 W Oak St Ste 103Kissimmee, FL 34741-4973 · (407) 931-0444 · Fax (407) 962-4446

Phone(407) 931-0444

Fax(407) 962-4446

Sole ProprietorNo

Enumeration DateFebruary 22, 2017

Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration

✔ NPI 1417496522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9110209

931 W OAK ST STE 103, Kissimmee, FL 34741

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lumary Matos P.a. 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services15 patients

Leave this field empty

Other Providers at the Same Location NPPES 10

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

ORLANDO FAMILY MEDICAL INC

General Practice