GEORGE KORAH MATTAMANA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1669650693

GEORGE KORAH MATTAMANA (CRNA) is a healthcare provider. based in Xenia, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2005020681 (MO). The NPI Number for GEORGE KORAH MATTAMANA (CRNA) is 1669650693

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE KORAH MATTAMANA (CRNA)
NPI
1669650693
Phone
(937) 829-9033
Address
1655 ASHMONT CT
Enumeration Date
31 January 2008
Last Update Date
1 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374277800
Graduation Year
2007 (19 years ago)
PAC ID
2163585407
Group Practice PAC ID
1658520747
Professional Enrollment ID
I20090112000769
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for GEORGE KORAH MATTAMANA (CRNA)

  • 1655 ASHMONT CT

    XENIA, OH 453857060

    Phone: (937) 829-9033

    Type: Mailing

  • Wright-Patterson Medical Center, 4881, Sugar Maple Drive, Buckeye Trailer Court, Greene County, Ohio, 45433, United States

    88MDG/SGHJ

    WRIGHT PATTERSON AFB, OH 454335546

    Phone: (937) 829-9033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($76).

Total Amount

$76

General + Research + Ownership

Payments

4

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$76
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: 2009-01-12

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
I20090112000769ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
01402Anesthesia for procedure for total knee joint replacement2020$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
01214Anesthesia for total hip replacement1515$0
00537Anesthesia for procedure to assess heart electrical activity1414$0
01922Anesthesia for x-ray or radiation therapy1111$0
View full utilization report →

Insurance plans in this area (ZIP 45385)

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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: 1658520747View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What is the 10-digit NPI for GEORGE KORAH MATTAMANA (CRNA)?
GEORGE KORAH MATTAMANA (CRNA) — NPI 1669650693 — is the standard way to identify this listing.
Is GEORGE KORAH MATTAMANA (CRNA) still practicing?
GEORGE KORAH MATTAMANA (CRNA) is currently listed as active in the public NPI registry.
What is GEORGE KORAH MATTAMANA (CRNA)'s specialty?
The listing groups GEORGE KORAH MATTAMANA (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for GEORGE KORAH MATTAMANA (CRNA)?
GEORGE KORAH MATTAMANA (CRNA)'s geographic hint is Xenia, Ohio in our summary view.
Why does GEORGE KORAH MATTAMANA (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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