Individual provider Active NPI

Stanley Joseph Matyasik, DO

  • Pulmonary Disease Physician
  • Steubenville, OH
National Provider Identifier
1003951625
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
34.013226 Issued in OH
Practice address
4100 Johnson Rd Ste 202
Steubenville, OH 43952-2372
Phone
(740) 314-8438
Fax
(740) 672-3595
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 34.013226 OH Primary

Addresses

Primary practice location

4100 Johnson Rd Ste 202
Steubenville, OH 43952-2372

Mailing address

4100 Johnson Rd Ste 202
Steubenville, OH 43952-2372
Phone (740) 231-4484

Other identifiers 1

IdentifierTypeStateIssuer
0293411MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180621002214 OH Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2466594742
I20180828000825 WV Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2466594742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
48.02
Promoting interoperability
91
Improvement activities
40
Cost
71.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3276WVMDEndodontist

Interoperability endpoints

  • Direct secure messaging: smatyasik121936@direct.wvuhsdirect.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1003951625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD STE 202",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522372",
            "telephone_number": "740-231-4484",
            "fax_number": "740-672-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD STE 202",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522372",
            "telephone_number": "740-314-8438",
            "fax_number": "740-672-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYASIK",
        "first_name": "STANLEY",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "34.013226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.