Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Angela Fay Mata, MD
Pediatrics Physician in Detroit, MI · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1366623704
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Angela Fay Mata
Credential MD
Sex Female
Practice address 22201 Moross Rd Ste 270, Detroit, MI, 48236
Phone (313) 343-3481
Fax (313) 343-7937
Enumeration date Nov 14, 2007
Last updated in NPPES Jun 25, 2014
Taxonomy & licenses
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 4301086164 (MI) Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 35097933 (OH) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053325 | Medicaid | OH | - |
| 0H208910 | Other | MI | BLUE CROSS GROUP |
| 9761739 | Other | OH | AETNA |
| 07249 | Other | OH | PARAMOUNT |
| 72300 | Other | OH | MERIDIAN |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Angela Mata?
Angela Mata is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-25.