Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679993034 Individual Practitioner Male Practitioner

Dr. Raphael Josy Mattamal , MD

Pediatrics • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Raphael Mattamal, MD is a registered healthcare professional specializing in Pediatrics in Amarillo, TX. Practice services are available at 1400 S COULTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 S Coulter St

Amarillo, TX 791061786

Telephone 8064149800
Fax 8063545689
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
35 Specialists

Practicing in Amarillo, TX (5841 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX R4092

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX 45997

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

State License TX 582589

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
374825301 (TX)
Medicaid State Provider ID
374825302 (TX)
Medicaid State Provider ID
73172511 (NM)
Medicaid State Provider ID
200725100A (OK)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Brenda Chesley

Nurse Practitioner - Pediatrics

NPI 1013398767
Kathleen Lee , CPNP

Nurse Practitioner - Pediatrics

NPI 1033583695

Certified Pediatric Nurse Practitioner

Debra Cristy , PT

Physical Therapist

NPI 1043732639

Physical Therapist

NPI 1073076907

Doctor of Osteopathic Medicine (D.O.)

Terry Emerson , NP

Nurse Practitioner - Neonatal

NPI 1073792107

Nurse Practitioner

Dr. Schyler Grodman , MD, MS

Student in an Organized Health Care Education/Training Program

NPI 1083278394

Doctor of Medicine (M.D.), Master of Science

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 28, 2017

Registered at 1400 WALLACE BLVD, AMARILLO, TX 791061708 (Tel: (806) 414-9800)

📍
Updated Practice Location July 28, 2017

Registered at 1400 S COULTER ST, AMARILLO, TX 791061786 (Tel: 8064149800)

👤
Provider Name / Credentials Updated July 28, 2017

Recorded as RAPHAEL MATTAMAL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Pediatrics (License #45997 in TX)

NPI Profile Active April 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2014

Registered at 1400 S COULTER ST, AMARILLO, TX 791061786 (Tel: 5044910495)

📍
Updated Business Mailing Address April 23, 2014

Registered at 26422 CRESTON WOODS DR, KATY, TX 774944286 (Tel: 5044910495)

👤
Provider Name / Credentials Updated April 23, 2014

Recorded as RAPHAEL MATTAMAL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2014

Student in an Organized Health Care Education/Training Program (License #582589 in TX)

🟢
Initial NPI Registration & Enumeration April 23, 2014

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: 1679993034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2014
Last Update: February 23, 2018
Sole Proprietor: No

Mailing Address

1400 Wallace Blvd

Amarillo, TX 791061708

Phone: 8064149800

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.