FIDEL MATA P.A.
NPI 1558445924
Physician Assistant - Medical in Decatur, IL
About Fidel Mata P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIDEL MATA P.A. (NPI 1558445924) is an individual medical provider in Decatur, Illinois, licensed in Illinois (085-002235) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Fidel Mata P.a. 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILSt Marys Hospital
Acute Care Hospitals · Decatur, ILHshs Good Shepherd Hospital Inc
Critical Access Hospitals · Shelbyville, ILMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, IL 62521
DECATUR, IL 62521
DECATUR, IL 62521
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 Fidel Mata's NPI number?
The NPI number for Fidel Mata is 1558445924. It was assigned to this individual provider in the NPPES registry on October 24, 2006.
Where is Fidel Mata located?
Fidel Mata practices at 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521. The listed phone number is (217) 422-6100.
What is Fidel Mata's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Fidel Mata enrolled in Medicare?
Yes. Fidel 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.
What insurance does Fidel Mata accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Fidel 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.
Is Fidel Mata affiliated with any hospitals?
According to CMS data, Fidel Mata is affiliated with St Johns Hospital, St Marys Hospital and Hshs Good Shepherd Hospital Inc.
When was this NPI record last updated?
The NPPES record for Fidel Mata was last updated on December 20, 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.
# Fidel Mata, P.A. · NPI 1558445924
Medical physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1558445924 (Entity type: Individual)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 085-002235 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1770 E LAKE SHORE DR STE 105, Decatur, IL 62521-3800
- **Phone:** (217) 422-6100 · **Fax:** (833) 784-5326
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** December 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1558445924) · Data from the CMS NPPES public registry.