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DR. YESU MATTA M.D.
NPI 1851648471
Pediatrics in Middletown, CT

Active since August 14, 2012PECOS Enrolled
675 MAIN STREET, MIDDLETOWN, CT 06457(860) 347-6971 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Yesu Matta M.d. NPPES

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

DR. YESU MATTA M.D. (NPI 1851648471) is an individual pediatrics provider in Middletown, Connecticut, licensed in Connecticut (64545) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1851648471
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. YESU MATTACredential: M.D.
Location Address675 MAIN STREETMiddletown, CT 06457-0645
Mailing Address506 Lenox Ave # Mlk17110New York, NY 10037-1802 · (212) 939-4019 · Fax (212) 939-4022
Phone(860) 347-6971
Sole ProprietorYes
Enumeration DateAugust 14, 2012
Last NPPES UpdateJanuary 22, 2020
✔ NPI 1851648471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 64545
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
675 MAIN STREET, Middletown, CT 06457
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Secondary Practice Location 1

Location 1506 Lenox Ave # Mlk17110New York, NY 10037-1802 · Phone (212) 939-4019 · Fax (212) 939-4022

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yesu Matta M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

KENT SUNDERLAND PSYD
Psychologist (Clinical)
675 MAIN STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MICHAEL LAURO LADC
Counselor (Addiction (Substance Use Disorder))
675 MAIN STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
LINDSAY MARMARAS APRN, FNP-C
Nurse Practitioner
675 MAIN STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
DR. TANESHA TAMARA RANKINE PSY.D
Counselor (Mental Health)
675 MAIN STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
LAINA JEAN CROSS MSN
Nurse Practitioner (Family)
675 MAIN STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
BROOKE LLOYD
Psychologist (Clinical)
675 MAIN STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
KATE PINKUS LCSW
Social Worker (Clinical)
675 MAIN STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
DR. CATHERINE SAVVIDES PSYD
Psychologist
675 MAIN STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971

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 Yesu Matta's NPI number?

The NPI number for Yesu Matta is 1851648471. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Yesu Matta located?

Yesu Matta practices at 675 Main Street, Middletown, CT 06457. The listed phone number is (860) 347-6971.

What is Yesu Matta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Yesu Matta enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Yesu Matta was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.