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COLON & RECTAL DISEASE CENTER, INC.
NPI 1447450804
Colon & Rectal Surgery in Cincinnati, OH

Active since July 23, 2007
10496 MONTGOMERY RD, SUITE 204, CINCINNATI, OH 45242(513) 793-9835(513) 793-9837 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colon & Rectal Disease Center, Inc. NPPES

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

COLON & RECTAL DISEASE CENTER, INC. (NPI 1447450804) is a healthcare organization registered as a colon & rectal surgery in Cincinnati, Ohio and active in the NPI registry since July 2007. The organization lists Mahendra Matta, Owner, as its authorized official.

NPPES Registry Identity

NPI1447450804
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameCOLON & RECTAL DISEASE CENTER, INC.
Location Address10496 MONTGOMERY RD, SUITE 204Cincinnati, OH 45242-5220
Mailing Address10496 Montgomery Rd, Suite 204Cincinnati, OH 45242-5220 · (513) 793-9835 · Fax (513) 793-9837
Phone(513) 793-9835
Fax(513) 793-9837
Organization SubpartNo
Authorized OfficialMahendra MattaOwner · (513) 793-9835
Enumeration DateJuly 23, 2007
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1447450804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
10496 MONTGOMERY RD, Cincinnati, OH 45242
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Other Identifiers 1

Medicare PINMA9242941OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colon & Rectal Disease Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colon & Rectal Disease Center, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Mahendra Matta, MD
Colorectal Surgery (Proctology)
NPI 1518936814
10496 MONTGOMERY RD SUITE 204
Cincinnati, OH 45242
(513) 793-9835
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Colon & Rectal Disease Center, Inc.'s NPI number?

The NPI number for Colon & Rectal Disease Center, Inc. is 1447450804. It was assigned to this organization in the NPPES registry on July 23, 2007.

Where is Colon & Rectal Disease Center, Inc. located?

Colon & Rectal Disease Center, Inc. is located at 10496 Montgomery Rd Suite 204, Cincinnati, OH 45242. The listed phone number is (513) 793-9835.

What is Colon & Rectal Disease Center, Inc.'s specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Colon & Rectal Disease Center, Inc. enrolled in Medicare?

Yes. Colon & Rectal Disease Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colon & Rectal Disease Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Colon & Rectal Disease Center, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colon & Rectal Disease Center, Inc. was last updated on January 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.