NPIMap

Individual provider Active NPI

Matthew James Viereck, M.D.

  • Neurology Physician
  • Paoli, PA
National Provider Identifier
1053844308
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD477160 Issued in PA
Practice address
255 W Lancaster Ave Ste 124
Paoli, PA 19301-1764
Phone
(610) 648-0553
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD477160 PA Primary

Addresses

Primary practice location

255 W Lancaster Ave Ste 124
Paoli, PA 19301-1764

Mailing address

100 E Lancaster Ave Ste 230
Wynnewood, PA 19096-3451
Phone (610) 642-3796

Other practice location 1

301 S 7th Ave Ste 210
West Reading, PA 19611-1450
Phone (484) 628-4656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621000554 PA Practitioner - NeurologyPractitioner - Sleep Medicine 5698012243 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

301 S 7TH Ave
Suite 210
West Reading, PA 19611-1450
Phone (484) 628-4656

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology Associates Inc CurrentSince Aug 1, 2022 Accepting new patients
Reading Hospital CurrentSince Jun 1, 2024 Accepting new patients
Reading Hospital CurrentSince Jun 1, 2024 Accepting new patients
Main Line Healthcare Neurology PastSince Jul 24, 2022 Accepting new patients

Locations

255 W Lancaster Ave
Ste 124
Paoli, PA 19301
Phone (610) 648-0553

301 S 7th Ave
Ste 210
West Reading, PA 19611
Phone (484) 628-4656

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

100 E Lancaster Ave
Ste 230
Wynnewood, PA 19096
Phone (610) 642-3796

2603 Keiser Blvd
Ste 104
Wyomissing, PA 19610
Phone (484) 628-3150

Interoperability endpoints

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

Organizations & group practices 6

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 9

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1053844308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 230",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963451",
            "telephone_number": "610-642-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE STE 124",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011764",
            "telephone_number": "610-648-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S 7th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196111450",
            "country_code": "US",
            "telephone_number": "484-628-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIERECK",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD477160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.