Family Medicine Clinic
NPI 1114109923ActiveOrganization· Family Medicine· New Iberia, LA
Family Medicine in New Iberia, Louisiana, registered in NPPES in December 2007. The authorized official on file is Jose A. Mata, MD, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114109923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2007 |
| Last updated in NPPES | Mar 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 015812 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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