Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851648471 Individual Practitioner Male Practitioner

Dr. Yesu Matta , MD

Pediatrics • Middletown, CT

Professional Overview & Biography Verified Profile Summary

Dr. Yesu Matta, MD is a registered healthcare professional specializing in Pediatrics in Middletown, CT. Practice services are available at 675 MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

675 Main Street

Middletown, CT 064570645

Telephone 8603476971
Associated Practice Facility / Clinic
🏢 Community Health Center, Inc. Facility NPI 1568409365

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Middletown, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Middletown, CT (1087 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CT 64545

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

506 Lenox Ave # Mlk17110

New York, NY 100371802

Phone: 2129394019

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kent Sunderland , PsyD

Psychologist - Clinical

NPI 1003263245

Doctor of Psychology (Psy.D.)

NPI 1013051440

Licensed Clinical Social Worker

Michael Lauro , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1023530789

Licensed Alcohol and Drug Counselor

NPI 1033187539

Master of Social Work

Lisbeth Greist , LCSW, LPCA

Social Worker - Clinical

NPI 1043958978

Licensed Clinical Social Worker, LPCA

NPI 1063418218

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 22, 2020

Registered at 675 MAIN STREET, MIDDLETOWN, CT 064570645 (Tel: 8603476971)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2020

Pediatrics (License #64545 in CT)

NPI Profile Active August 14, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2012

Registered at 506 LENOX AVE # MLK17110, NEW YORK, NY 100371802 (Tel: 2129394019)

📍
Updated Business Mailing Address August 14, 2012

Registered at 506 LENOX AVE # MLK17110, NEW YORK, NY 100371802 (Tel: 2129394019)

👤
Provider Name / Credentials Updated August 14, 2012

Recorded as YESU MATTA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 14, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851648471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2012
Last Update: January 22, 2020
Sole Proprietor: Yes

Mailing Address

506 Lenox Ave # Mlk17110

New York, NY 100371802

Phone: 2129394019

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.