Christopher Robert Matta, MD
Urology in Philadelphia, PA. Individual provider (NPI-1).
NPI number1457090946
StatusActive
Last updated in NPPESJun 2, 2022
Details
- NPI
- 1457090946
- Entity type
- Individual (NPI-1)
- Name
- Christopher Robert Matta
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2022
- Certification date
- Jun 2, 2022
- Last updated
- Jun 2, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | MT225948 | PA | Yes |
Practice location
3401 N Broad StPhiladelphia, PA 19140-5189
Phone 215-707-5303
Mailing address
126 Conarroe St Apt XPhiladelphia, PA 19127-1327
Phone 609-290-1295
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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