Individual provider Active NPI

Matthew Heitzenrater, DO

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1003251620
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018340 Issued in PA
Practice address
300 State St Ste 401
Erie, PA 16507-1438
Phone
(814) 877-5333
Fax
(814) 877-5329
NPI assigned
May 9, 2013
Last updated
May 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS018340 PA Primary

Addresses

Primary practice location

300 State St Ste 401
Erie, PA 16507-1438

Mailing address

300 State St Ste 401
Erie, PA 16507-1438
Phone (814) 877-5333

Other practice location 1

2861 W 26th St
Unit 16
Erie, PA 16506-3064
Phone (814) 835-6695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.heitzenrater@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161230000072 PA Practitioner - Family PracticePractitioner - Emergency Medicine 3375831381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

5241 Buffalo Rd
Erie, PA 16510-2391
Phone (814) 877-7686

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.45 of 100Reported as group
Quality
90.53
Promoting interoperability
100
Improvement activities
40
Cost
77.62

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Epn Hamot Urgent Care LLC Family Medicine CurrentSince Oct 23, 2016 Accepting new patients

Locations

100 Peach St
Ste 101
Erie, PA 16507
Phone (814) 877-6195

104 E 2nd St
Fl 4
Erie, PA 16507
Phone (814) 877-7072

2861 W 26th St
Erie, PA 16506
Phone (814) 480-7760

2861 W 26th St
Unit 16
Erie, PA 16506
Phone (814) 835-6695

300 State St
Ste 401
Erie, PA 16507
Phone (814) 877-4577

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

4108 Zuck Rd
Erie, PA 16506
Phone (814) 397-5438

5241 Buffalo Rd
Erie, PA 16510
Phone (814) 877-5100

7200 Peach St
Unit 16
Erie, PA 16509
Phone (814) 860-3301

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: matthew.heitzenrater@upmcdirect.com
  • Direct secure messaging: mheitzenrater115150@upmc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1003251620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071438",
            "telephone_number": "814-877-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071438",
            "telephone_number": "814-877-5333",
            "fax_number": "814-877-5329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2861 W 26th St",
            "address_2": "Unit 16",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165063064",
            "country_code": "US",
            "telephone_number": "814-835-6695",
            "fax_number": "814-877-5329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEITZENRATER",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.heitzenrater@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.