Individual provider Active NPI

Matthew A Mates, PA-C

  • Physician Assistant
  • Middleburg Heights, OH
National Provider Identifier
1033188933
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50000676 Issued in OH
Practice address
6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130-3639
Phone
(440) 845-0900
Fax
(440) 845-7355
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50000676 OH Primary
Surgical Physician Assistant 363AS0400X 50.000676 OH

Addresses

Primary practice location

6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130-3639

Mailing address

6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130-3639
Phone (440) 845-0900

Other identifiers 1

IdentifierTypeStateIssuer
0117576MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6900 Pearl Rd
Middleburg Heights, OH 44130-3639

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50000676OHMDPhysician Assistant
50.000676OHMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: mmates28482@ehrdirect.uhhospitals.org

Hospital & facility affiliations 1

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1033188933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PEARL ROAD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303639",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PEARL ROAD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303639",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATES",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000676",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.000676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.