MRS. SHANTAL MARIE MATUTES (MD) – Internal Medicine Physician, NPI 1023578317

MRS. SHANTAL MARIE MATUTES (MD) is a healthcare provider. based in Miami, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME157732 (FL). The NPI Number for MRS. SHANTAL MARIE MATUTES (MD) is 1023578317

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHANTAL MARIE MATUTES (MD)
NPI
1023578317
Phone
(786) 843-8470
Address
16364 SW 103RD TER
Enumeration Date
22 March 2019
Last Update Date
13 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3058219791
Graduation Year
2018 (8 years ago)
PAC ID
5193053775
Group Practice PAC ID
2668772419
Professional Enrollment ID
I20220927000299
Address ID
FL330161884HI2150XSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for MRS. SHANTAL MARIE MATUTES (MD)

  • 16364, Southwest 103rd Terrace, Miami-Dade County, Florida, 33196, United States

    MIAMI, FL 331964905

    Phone: (786) 843-8470

    Type: Mailing

  • Blake Medical Center, 2020, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342094604

    Phone: (941) 567-2582

    Type: Location

  • PO BOX 25487

    SARASOTA, FL 342772487

    Phone: (941) 202-5342

    Type: Mailing

  • 2150 W 76TH ST STE 110

    HIALEAH, FL 330161884

    Phone: (305) 821-9791

    Fax: (305) 821-6783

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($20).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220927000299IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4728$0
99441Telephone medical discussion with physician, 5-10 minutes2321$0
99214Established patient office or other outpatient visit, 30-39 minutes2116$0
G0444Annual depression screening, 5 to 15 minutes2121$0
G0442Annual alcohol misuse screening, 5 to 15 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 33196)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668772419View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MRS. SHANTAL MARIE MATUTES (MD)?
Save NPI 1023578317 if you need a stable reference for MRS. SHANTAL MARIE MATUTES (MD).
Is MRS. SHANTAL MARIE MATUTES (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. SHANTAL MARIE MATUTES (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for MRS. SHANTAL MARIE MATUTES (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. SHANTAL MARIE MATUTES (MD)?
The page summarizes Miami, Florida for MRS. SHANTAL MARIE MATUTES (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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