Active NPI
Matthew V Zaccheo, DO
- Critical Care Medicine (Internal Medicine) Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- OS012450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033173267 | Medicaid | MI | |
| 1071104 | Other | WV | W. VIRGINIA WORKERS COMP |
| 1010579960002 | Medicaid | PA | |
| 197616 | Other | PA | UNISON |
| P00380522 | Other | PA | RR MEDICARE |
| 1417961137 | Other | MI | BCBSM - BMH TAX ID |
| 1427756 | Other | PA | AETNA |
| 410337 | Other | PA | UPMC |
| 00027186402 | Other | NY | UNIVERA |
| 1540527 | Other | PA | GATEWAY |
| 2702892 | Other | OH | OH MEDICAID |
| 02833796 | Other | NY | NY MEDICAID |
| 1417961137 | Other | MI | BCBSM - BMH |
| 1255304358 | Medicaid | MI | |
| 1633761 | Other | PA | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mzaccheo203435@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS012450 | PA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Metropolitan Hospital | Internal Medicine | Current | Accepting new patients |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Patholgy Services of Kalamazoo, PC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Internal Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
Internal Medicine
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
dba Metro Health Hospital
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1548243595
-
- Multi-Specialty Clinic/Center
- Erie, PA
- NPI 1902844574
-
dba Bronson Medical Group
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1093119638
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628899200000",
"number": "1033173257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435"
}
],
"practiceLocations": [
{
"address_1": "601 John St",
"address_2": "Suite M510",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490075341",
"country_code": "US",
"telephone_number": "269-341-7762",
"fax_number": "269-341-8098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 John St",
"address_2": "Suite M510",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490075341",
"country_code": "US",
"telephone_number": "269-341-7762",
"fax_number": "269-341-8098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5900 Byron Center Ave SW",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495199606",
"country_code": "US",
"telephone_number": "616-252-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"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": [
{
"code": "207R00000X",
"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
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PA",
"license": "OS012450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033173267",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "W. VIRGINIA WORKERS COMP",
"identifier": "1071104",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010579960002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "197616",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00380522",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM - BMH TAX ID",
"identifier": "1417961137",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1427756",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "410337",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00027186402",
"state": "NY"
},
{
"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"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAID",
"identifier": "02833796",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM - BMH",
"identifier": "1417961137",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255304358",
"state": "MI"
},
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.