DR. ELIAS N MATTA M.D.
NPI 1669731394
Pediatrics - Pediatric Emergency Medicine in St Petersburg, FL

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment
501 6TH AVE S, ST PETERSBURG, FL 33701(727) 898-7451 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2021, Jan 23, 2021 (2 updates tracked since 2021).

About Dr. Elias N Matta M.d. NPPES

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

DR. ELIAS N MATTA M.D. (NPI 1669731394) is an individual pediatric emergency medicine provider in St Petersburg, Florida, licensed in Florida (ME122561) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1669731394
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. ELIAS N MATTACredential: M.D.
Location Address501 6TH AVE SSt Petersburg, FL 33701-4634
Mailing Address501 6th Ave SSt Petersburg, FL 33701-4634 · (727) 898-7451
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 15, 2012
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
NPI 1669731394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses Licensed in FL · ME122561 Licensed in NJ · 25MA09039000
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License ME122561 (FL), 25MA09039000 (NJ)
501 6TH AVE S, St Petersburg, FL 33701

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

Dr. Elias N Matta M.d. 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 ID5991940447
PECOS Enrollment IDI20161020000955
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.

Pediatrics
501 6TH AVE S
ST PETERSBURG, FL 33701
Radiology (Pediatric Radiology)
501 6TH AVE S, DEPARTMENT OF RADIOLOGY
SAINT PETERSBURG, FL 33701
Hospitalist
501 6TH AVE S
ST PETERSBURG, FL 33701
Social Worker
501 6TH AVE S, DEPT.# 7470
ST PETERSBURG, FL 33701
Nurse Practitioner (Pediatrics)
501 6TH AVE S, DEPT OF RADIOLOGY
ST PETERSBURG, FL 33701
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701
Psychologist
501 6TH AVE S
ST PETERSBURG, FL 33701
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701

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 Elias Matta's NPI number?

The NPI number for Elias Matta is 1669731394. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Elias Matta located?

Elias Matta practices at 501 6th Ave S, St Petersburg, FL 33701. The listed phone number is (727) 898-7451.

What is Elias Matta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Elias Matta enrolled in Medicare?

Yes. Elias Matta 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 Elias Matta was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.