Active NPI
Matthew A Mates, PA-C
- Physician Assistant
- Middleburg Heights, OH
National Provider Identifier
1033188933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50000676
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117576 | Medicaid | OH |
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50000676 | OH | MD | Physician Assistant |
| 50.000676 | OH | MD | Surgical Physician Assistant |
Interoperability endpoints
- mmates28482@ehrdirect.uhhospitals.org
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.