Matthew John Pontoriero, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA0585891 Issued in PA

Practice address

125 Daugherty Dr
Suite 301
Monroeville, PA 15146-2749

Phone

(412) 856-4666

NPI assigned

Oct 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialists in Cardiovascular Medicine PCGroup PAC ID 9234110685, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc East Hospital, Monroeville, PA, CCN 390328

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mpontoriero@specialists.medentdirect.com

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.

• Specialists in Cardiovascular Medicine, PC

  • Cardiovascular Disease Physician
  • Monroeville, PA
  • NPI 1326186719
  Medicare reassignment Care Compare group

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

• Upmc East

  • General Acute Care Hospital
  • Monroeville, PA
  • NPI 1225323983
  Care Compare affiliation

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1013466028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DAUGHERTY DR",
            "address_2": "SUITE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DAUGHERTY DR",
            "address_2": "SUITE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462749",
            "telephone_number": "412-856-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTORIERO",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA0585891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AA PTAN",
            "identifier": "41798MV2",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AA",
            "identifier": "1750429130",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AA MEDICAL ASSISTANCE",
            "identifier": "A0009876100009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DB",
            "identifier": "1598758138",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS",
            "identifier": "1073880597",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "022213",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Polantz, CRNP
• Julie Ann Polliard, PHARMD
• Makenna Pollock
• Noah Alexander Ponko, PA-C
• Gregory John Pontasch, MD
• Rachel Popovich
• Samuel John Popovich, D.M.D.
• Asha V Potnis, M.D.
• Pow Chiropractic & Physical Medicine
• Powerback Rehabilitation LLC

• Medical Physician Assistant in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.