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PUNIT MATTA MD
NPI 1588424618
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since March 19, 2024PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Punit Matta Md NPPES

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

PUNIT MATTA MD (NPI 1588424618) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588424618
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePUNIT MATTACredential: MD
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address22 Bramhall StPortland, ME 04102-3175
Phone(207) 662-0111
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1588424618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 BRAMHALL ST, Portland, ME 04102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Punit Matta Md 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.

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.

SUZANNE MAYNARD CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY
PORTLAND, ME 04102
Cumberland County (207) 662-4562
MONIQUE L PATTERSON CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 415-9955
DR. THOMAS P CHARRETTE MD
Hospitalist
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Cumberland County (207) 662-4618
DAVID CUENOD ERNST M.D.
Specialist
22 BRAMHALL ST, DEPT OF OB/GYN
PORTLAND, ME 04102
Cumberland County (207) 662-2166
LISA C PRENTISS PA
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Cumberland County (207) 662-4618
TINA G MERRILL PA-C
Physician Assistant
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2263
MEREDITH BEAUREGARD PA
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Cumberland County (207) 662-4618
NANANDA F COL MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4745

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 Punit Matta's NPI number?

The NPI number for Punit Matta is 1588424618. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Punit Matta located?

Punit Matta practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Punit Matta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Punit Matta enrolled in Medicare?

Yes. Punit Matta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Punit Matta was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.