S. ANJANI DEVI MATTAI MD
NPI 1528030996
Internal Medicine in Los Angeles, CA

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
100 UCLA MEDICAL PLZ STE 490, LOS ANGELES, CA 90024(310) 206-8000 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About S. Anjani Devi Mattai Md NPPES

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

S. ANJANI DEVI MATTAI MD (NPI 1528030996) is an individual internal medicine provider in Los Angeles, California, licensed in California (A69997) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Northwestern University Feinberg Medical School (2000).

NPPES Registry Identity

NPI1528030996
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameS. ANJANI DEVI MATTAICredential: MD
Location Address100 UCLA MEDICAL PLZ STE 490Los Angeles, CA 90024-7003
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8771
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2000
Enumeration DateFebruary 1, 2006
Last NPPES UpdateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
NPI 1528030996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · A69997 Licensed in NY · 210549
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.
100 UCLA MEDICAL PLZ STE 490, Los Angeles, CA 90024

Secondary Practice Location 1

Location 1200 Med Plz, 365-ALos Angeles, CA 90095-0001 · Phone (310) 206-2323 · Fax (310) 267-2571

Other Identifiers 1

Medicaid1528030996CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

S. Anjani Devi Mattai 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 ID143227108
PECOS Enrollment IDI20110606000655
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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
102 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services34 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
49 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims13 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Internal Medicine
100 UCLA MEDICAL PLZ STE 490
LOS ANGELES, CA 90024
Internal Medicine
100 UCLA MEDICAL PLZ STE 490
LOS ANGELES, CA 90024
Internal Medicine
100 UCLA MEDICAL PLZ STE 490
LOS ANGELES, CA 90024
Nurse Practitioner (Primary Care)
100 UCLA MEDICAL PLZ STE 490
LOS ANGELES, CA 90024
Internal Medicine
100 UCLA MEDICAL PLZ STE 490
LOS ANGELES, CA 90024

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 S. Anjani Mattai's NPI number?

The NPI number for S. Anjani Mattai is 1528030996. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is S. Anjani Mattai located?

S. Anjani Mattai practices at 100 Ucla Medical Plz Ste 490, Los Angeles, CA 90024. The listed phone number is (310) 206-8000.

What is S. Anjani Mattai's specialty?

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

Is S. Anjani Mattai enrolled in Medicare?

Yes. S. Anjani Mattai 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.

When was this NPI record last updated?

The NPPES record for S. Anjani Mattai was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.