Individual provider Active NPI

Matthew V Zaccheo, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Harrisburg, PA
National Provider Identifier
1033173257
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
OS012450 Issued in PA
Practice address
111 S Front St
Harrisburg, PA 17101-2010
Phone
(717) 231-8772
Fax
(717) 231-8435
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS012450 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5101018545 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS012450 PA Primary

Addresses

Primary practice location

111 S Front St
Harrisburg, PA 17101-2010

Mailing address

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8772

Other practice location 1

601 John St
Suite M510
Kalamazoo, MI 49007-5341
Phone (269) 341-7762

Other practice location 2

601 John St
Suite M510
Kalamazoo, MI 49007-5341
Phone (269) 341-7762

Other practice location 3

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200

Other identifiers 15

IdentifierTypeStateIssuer
1033173267MedicaidMI
1071104OtherWVW. VIRGINIA WORKERS COMP
1010579960002MedicaidPA
197616OtherPAUNISON
P00380522OtherPARR MEDICARE
1417961137OtherMIBCBSM - BMH TAX ID
1427756OtherPAAETNA
410337OtherPAUPMC
00027186402OtherNYUNIVERA
1540527OtherPAGATEWAY
2702892OtherOHOH MEDICAID
02833796OtherNYNY MEDICAID
1417961137OtherMIBCBSM - BMH
1255304358MedicaidMI
1633761OtherPABLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mzaccheo203435@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 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
I20040927000029 PA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3779552948 Reassigns benefits to 1 organization
I20100828000176 MI Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 3779552948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012450PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince May 12, 2021 Accepting new patients
Metropolitan Hospital Internal Medicine CurrentSince Jul 31, 2017 Accepting new patients
Bronson Methodist Hospital CurrentSince Jul 1, 2010 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Pinnacle Health Medical Services Internal Medicine CurrentSince May 12, 2021 Accepting new patients
Erie Physicians Network PC Past Accepting new patients
Bronson Battle Creek Hospital Internal Medicine Past Accepting new patients

Locations

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M510
Kalamazoo, MI 49007
Phone (269) 341-7762

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

Interoperability endpoints

  • Direct secure messaging: mzaccheo308510@upmc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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.

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    "number": "1033173257",
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            "fax_number": "269-341-8098",
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        },
        {
            "address_1": "601 John St",
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    ],
    "basic": {
        "last_name": "ZACCHEO",
        "first_name": "MATTHEW",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
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            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS012450",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "5101018545",
            "primary": false
        },
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            "code": "207RC0200X",
            "taxonomy_group": "",
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            "primary": true
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    "identifiers": [
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        {
            "code": "01",
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            "issuer": "W. VIRGINIA WORKERS COMP",
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            "identifier": "197616",
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            "issuer": "RR MEDICARE",
            "identifier": "P00380522",
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        {
            "code": "01",
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            "issuer": "BCBSM - BMH TAX ID",
            "identifier": "1417961137",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1427756",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "410337",
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        {
            "code": "01",
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            "issuer": "UNIVERA",
            "identifier": "00027186402",
            "state": "NY"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1540527",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAID",
            "identifier": "2702892",
            "state": "OH"
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        {
            "code": "01",
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BMH",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255304358",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1633761",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzaccheo203435@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.