ROBERTO SANCHEZ MATA MD
NPI 1417650102
Internal Medicine in Hialeah, FL

Active since March 23, 2023PECOS EnrolledAccepts Medicare Assignment
2001 W 68TH ST STE 202, HIALEAH, FL 33016(305) 364-2107 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2025, Mar 23, 2023 (2 updates tracked since 2023).

About Roberto Sanchez Mata Md NPPES

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

ROBERTO SANCHEZ MATA MD (NPI 1417650102) is an individual internal medicine provider in Hialeah, Florida, licensed in Florida (ME175737) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417650102
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERTO SANCHEZ MATACredential: MD
Location Address2001 W 68TH ST STE 202Hialeah, FL 33016-1898
Mailing Address2001 W 68th St Ste 202Hialeah, FL 33016-1898 · (305) 364-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 23, 2023
Last NPPES UpdateSeptember 1, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2025
✔ NPI 1417650102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME175737
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2001 W 68TH ST STE 202, Hialeah, FL 33016

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

Roberto Sanchez Mata Md 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 ID4385109990
PECOS Enrollment IDI20260723002221
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

2

Medicare enrollment records show Roberto Sanchez Mata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8200 NW 10TH ST APT 11
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 20

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

Internal Medicine
2001 W 68TH ST STE 202
HIALEAH, FL 33016
Student in an Organized Health Care Education/Training Program
2001 W 68TH ST STE 202
HIALEAH, FL 33016
Student in an Organized Health Care Education/Training Program
2001 W 68TH ST STE 202
HIALEAH, FL 33016
Student in an Organized Health Care Education/Training Program
2001 W 68TH ST STE 202
HIALEAH, FL 33016
Internal Medicine
2001 W 68TH ST STE 202
HIALEAH, FL 33016
General Practice
2001 W 68TH ST STE 202
HIALEAH, FL 33016
Internal Medicine
2001 W 68TH ST STE 202
HIALEAH, FL 33016
Student in an Organized Health Care Education/Training Program
2001 W 68TH ST STE 202
HIALEAH, FL 33016

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 Roberto Sanchez Mata's NPI number?

The NPI number for Roberto Sanchez Mata is 1417650102. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Roberto Sanchez Mata located?

Roberto Sanchez Mata practices at 2001 W 68th St Ste 202, Hialeah, FL 33016. The listed phone number is (305) 364-2107.

What is Roberto Sanchez Mata's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roberto Sanchez Mata enrolled in Medicare?

Yes. Roberto Sanchez 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 organizations bill Medicare for Roberto Sanchez Mata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Sanchez Mata reassigns Medicare benefits to 2 organizations: Aresem Physician Services, LLC (Miami, FL) and First Docs PC (Naperville, IL). 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 Roberto Sanchez Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Sanchez Mata accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Roberto Sanchez 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 Roberto Sanchez Mata was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.