JOHN ALEXANDER MATA M.D. NPI 1750309001

NPI Information

  • NPI: 1750309001
  • Provider Name: JOHN ALEXANDER MATA, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1501 KINGS HWY
    DEPARTMENT OF UROLOGY
    SHREVEPORT, LA
    ZIP 71103
  • Phone: (318) 813-2750

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NPI Details

John Alexander Mata, M.D. is an urology in Shreveport, LA with 45 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. John Alexander Mata, M.D. NPI is 1750309001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1980

The provider's business location address is:

1501 KINGS HWY
DEPARTMENT OF UROLOGY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 813-2750
Fax: (318) 813-2755

The NPI 1750309001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology07036RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B62984MEDICARE UPINLOUISIANA
251336F600MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
31359629MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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