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ADNAN MATTA MD PC
NPI 1922265982
Surgery - Vascular Surgery in Warren, MI

Active since May 19, 2008
4090 E 14 MILE RD STE 100, WARREN, MI 48092(586) 838-4441(586) 838-4641 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adnan Matta Md Pc NPPES

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

ADNAN MATTA MD PC (NPI 1922265982) is a healthcare organization registered as a vascular surgery in Warren, Michigan and active in the NPI registry since May 2008. The organization lists Adnan Halim Matta, President, as its authorized official.

NPPES Registry Identity

NPI1922265982
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameADNAN MATTA MD PC
Location Address4090 E 14 MILE RD STE 100Warren, MI 48092-1196
Mailing Address4090 E14 Mile Rd Ste 100Warren, MI 48092-1196 · (586) 838-4441 · Fax (586) 838-4641
Phone(586) 838-4441
Fax(586) 838-4641
Organization SubpartNo
Authorized OfficialAdnan Halim MattaPresident · (586) 838-4441
Enumeration DateMay 19, 2008
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1922265982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 4301034389
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 4301034389 (MI)
4090 E 14 MILE RD STE 100, Warren, MI 48092
Open in Google Maps ↗

Other Identifiers 2

Other0206353551MI · Bcbs
Medicaid101701996MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Adnan Matta Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Adnan Matta MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adnan Matta, MD
Vascular Surgery
NPI 1841242815
37300 DEQUINDRE RD STE 201
Sterling Heights, MI 48310
(586) 858-4111
✔ PECOS✔ Accepts Medicare2.5 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 Adnan Matta MD PC's NPI number?

The NPI number for Adnan Matta MD PC is 1922265982. It was assigned to this organization in the NPPES registry on May 19, 2008.

Where is Adnan Matta MD PC located?

Adnan Matta MD PC is located at 4090 E 14 Mile Rd Ste 100, Warren, MI 48092. The listed phone number is (586) 838-4441.

What is Adnan Matta MD PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Adnan Matta MD PC enrolled in Medicare?

Yes. Adnan Matta MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adnan Matta MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Adnan Matta MD PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Adnan Matta MD PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Adnan Matta MD PC 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 Adnan Matta MD PC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.