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MATTA MEDICAL CLINIC LLC
NPI 1881174027
Family Medicine in Natchitoches, LA

Active since August 16, 2018CLIA 19D2152486 · Microscopy
647 BIENVILLE CIR, NATCHITOCHES, LA 71457(318) 238-5990 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matta Medical Clinic Llc NPPES

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

MATTA MEDICAL CLINIC LLC (NPI 1881174027) is a healthcare organization registered as a family medicine in Natchitoches, Louisiana and active in the NPI registry since August 2018. The organization holds a CLIA Microscopy certificate valid through August 8, 2026 and lists Sujatha Gubbala, Manager, as its authorized official.

NPPES Registry Identity

NPI1881174027
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMATTA MEDICAL CLINIC LLC
Location Address647 BIENVILLE CIRNatchitoches, LA 71457-5744
Mailing AddressPo Box 7111Natchitoches, LA 71457-0111
Phone(318) 238-5990
Organization SubpartNo
Authorized OfficialSujatha GubbalaManager · (318) 238-5990
Enumeration DateAugust 16, 2018
✔ NPI 1881174027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
647 BIENVILLE CIR, Natchitoches, LA 71457
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Other Identifiers 1

Medicaid2387766LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D2152486

Matta Medical Clinic · Natchitoches, LA
Active · expires Aug 8, 2026
CLIA Number19D2152486
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorSujatha Gubbala
Laboratory Phone(318) 238-5990
Laboratory LocationMatta Medical Clinic140 E 5th Street, Natchitoches, LA 71457
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

SUJATHA GUBBALA MD
Family Medicine
647 BIENVILLE CIR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 238-5990
ADVANCED ORTHOPAEDIC SURGERY, LLC
Orthopaedic Surgery
647 BIENVILLE CIR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 352-7768
NRMC PHYSICIAN IPA INC
Internal Medicine
647 BIENVILLE CIR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 214-5770

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 Matta Medical Clinic LLC's NPI number?

The NPI number for Matta Medical Clinic LLC is 1881174027. It was assigned to this organization in the NPPES registry on August 16, 2018.

Where is Matta Medical Clinic LLC located?

Matta Medical Clinic LLC is located at 647 Bienville Cir, Natchitoches, LA 71457. The listed phone number is (318) 238-5990.

What is Matta Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Matta Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D2152486) is associated with this NPI, valid through August 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Matta Medical Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Matta Medical Clinic LLC 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.

When was this NPI record last updated?

The NPPES record for Matta Medical Clinic LLC was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.