DR. SUMAN DEEP MATIANA (M.D.) – Family Medicine Physician, NPI 1053755298

DR. SUMAN DEEP MATIANA (M.D.) is a healthcare provider. based in Roanoke, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0101260912 (VA). The NPI Number for DR. SUMAN DEEP MATIANA (M.D.) is 1053755298

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUMAN DEEP MATIANA (M.D.)
NPI
1053755298
Phone
(571) 606-2628
Address
1314 PETERS CREEK RD NW
Enumeration Date
18 April 2013
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033913558
Graduation Year
2012 (14 years ago)
PAC ID
1951536507
Group Practice PAC ID
1052419868
Professional Enrollment ID
I20161108000907
Address ID
VA220331709FA3600XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for DR. SUMAN DEEP MATIANA (M.D.)

  • 1314 PETERS CREEK RD NW

    ROANOKE, VA 240172500

    Phone: (571) 606-2628

    Type: Mailing

  • PO BOX 748613

    ATLANTA, GA 303748613

    Phone: (434) 295-1000

    Type: Mailing

  • 8700 SUDLEY RD

    MANASSAS, VA 201104418

    Phone: (703) 396-5292

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161108000907IFamily PracticeDCTBD
I20200805003398IFamily PracticeVATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes219114$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes142104$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes104103$0
99239Hospital discharge day management, more than 30 minutes10499$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 24017)

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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: 1052419868View full group profile
NameSpecialtyState
Hospitalist, Internal Medicine, Internal MedicineVA
Nurse PractitionerVA
Nurse PractitionerVA
Physician AssistantVA
Internal MedicineVA
Internal MedicineVA
Hospitalist, Internal Medicine, Internal MedicineSC
Hospitalist, Internal MedicineVA
Internal MedicineTX
Internal MedicineRI

Reviews

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Frequently asked questions

Can I cross-check DR. SUMAN DEEP MATIANA (M.D.) using NPI 1053755298?
NPI 1053755298 belongs to DR. SUMAN DEEP MATIANA (M.D.); compare other details if you need extra assurance.
Is DR. SUMAN DEEP MATIANA (M.D.) shown as active in public data?
Registry records indicate DR. SUMAN DEEP MATIANA (M.D.) maintains an active NPI.
What kind of doctor is DR. SUMAN DEEP MATIANA (M.D.)?
DR. SUMAN DEEP MATIANA (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SUMAN DEEP MATIANA (M.D.)?
Travel planning: use Roanoke, Virginia as the reference point for DR. SUMAN DEEP MATIANA (M.D.), then confirm.
Can I trust this NPI listing for DR. SUMAN DEEP MATIANA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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