Raphael Mattamal, M.D.
Raphael Mattamal, M.D. is a Pediatrics Physician in Amarillo, TX, registered under NPI 1679993034. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1400 S COULTER ST, Amarillo, TX 79106. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| R4092 | TX | Pediatrics Physician primary |
| 45997 | TX | Pediatrics Physician |
| 582589 | TX | Student in an Organized Health Care… |
This provider holds licence R4092 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 5193021681
- Enrollment ID
- I20170818000754
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
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. NUCC Health Care Provider Taxonomy, code 208000000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | R4092 | TX | primary |
| 208000000X | Pediatrics Physician | 45997 | TX | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 582589 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1679993034 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 23, 2014 |
| Last updated | Feb 23, 2018 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
1400 S COULTER ST Amarillo, TX 79106 (806) 414-9800 Fax (806) 354-5689 |
| Mailing address |
1400 WALLACE BLVD Amarillo, TX 79106 |
| Other identifiers |
374825301
· Medicaid (TX) 374825302 · Medicaid (TX) 73172511 · Medicaid (NM) 200725100A · Medicaid (OK) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 9 | 9 | 3 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 9 | 9 | 6 | 0 | 6 |
Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.