Look up the most recent NPI and PECOS records

Christian Matar

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Third Floor, Suite A3k00, Louisville, KY 40202-1622

PECOS Enrollment

Based on the most recent information from CMS, provider Christian Matar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1265827620
Provider Type
Individual
Full Name
Matar, Christian
Gender
Male

Sole Proprietor
No
Enumeration Date
4/2/2015
Last Updated
1/9/2020

Contact Information

Practice Location

550 S Jackson St, Third Floor, Suite A3k00, Louisville, KY 40202-1622

(502) 852-4277

Unlisted Fax

Mailing Location

741 President Pl, Ste 200, Smyrna, TN 37167-6809

(615) 459-7104

(615) 459-7822

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 59455 Tennessee

Christian Matar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Moser, Christopher M

Davis, Paul

University Of Louisville Physicians, Inc.

Tammo, Sami

Azabache Orrillo, Hilda Evelyn

Shah, Sidra Rehan

Falwell, Harrison Matthew

Adami, Megan D

Zavery, Arham Ashraf

Tobias, Derrick Edward