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

Active since August 16, 2018
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: October 25, 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 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matta Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Matta Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1164818894
647 BIENVILLE CIR
Natchitoches, LA 71457
(318) 238-5990
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871795674
501 KEYSER AVE
Natchitoches, LA 71457
(318) 214-4401
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Matta Medical Clinic LLC enrolled in Medicare?

Yes. Matta Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Matta Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Matta Medical Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8 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.