Individual provider Active NPI

Matthew W Reeves, NP

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1043046691
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704371275 Issued in MI
Practice address
17320 W 12 Mile Rd Ste 101
Southfield, MI 48076-2102
Phone
(248) 727-3456
Fax
(248) 557-4697
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4704371275 MI
Family Nurse Practitioner 363LF0000X 4704371275 MI Primary

Addresses

Primary practice location

17320 W 12 Mile Rd Ste 101
Southfield, MI 48076-2102

Mailing address

421 W Sunnybrook Dr
Royal Oak, MI 48073-2533
Phone (843) 636-2662

Other practice location 1

5823 Middlebelt Rd
Garden City, MI 48135-2459
Phone (347) 421-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20241007000578 MI Practitioner - Nurse Practitioner 7416488036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5823 Middlebelt Rd
Garden City, MI 48135-2495

Hospital & facility affiliations

  • Garden City Hospital Hospital, Garden City, MI, CCN 230244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704371275MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southfield Mental Health Associates PC CurrentSince Jan 1, 2025 Accepting new patients
Apollo Family Health Services PC CurrentSince Aug 1, 2025 Accepting new patients
Apollo Hospitalist Group CurrentSince Sep 10, 2024 Accepting new patients

Locations

5823 Middlebelt Rd
Garden City, MI 48135
Phone (734) 421-6333

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

17320 W 12 Mile Rd
Ste 101
Southfield, MI 48076
Phone (248) 727-3456

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA

Organizations & group practices 4

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 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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1043046691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W SUNNYBROOK DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732533",
            "telephone_number": "843-636-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762102",
            "telephone_number": "248-727-3456",
            "fax_number": "248-557-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5823 Middlebelt Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481352459",
            "country_code": "US",
            "telephone_number": "347-421-6333",
            "fax_number": "734-421-9954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704371275",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704371275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.