NPIMap

Individual provider Active NPI

Matthew Lee Edwards, D.O,

  • Interventional Cardiology Physician
  • Pontiac, MI
National Provider Identifier
1073877098
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
5101019832 Issued in MI
Practice address
50 N Perry St
Pontiac, MI 48342-2217
Phone
(248) 338-5000
NPI assigned
Jun 25, 2012
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101019832 MI
Cardiovascular Disease Physician 207RC0000X 5101019832 MI
Interventional Cardiology Physician 207RI0011X 5101019832 MI Primary

Addresses

Primary practice location

50 N Perry St
Pontiac, MI 48342-2217

Mailing address

50505 Schoenherr Rd
Ste 320
Shelby Township, MI 48315-3141
Phone (586) 580-3062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150814012874 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional RadiologyPractitioner - Interventional CardiologyPractitioner - Internal Medicine 9234372335 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates of Michigan, P.C.Group PAC ID 1850330309, 10 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

16151 19 Mile Rd
Suite 300
Clinton Township, MI 48038-1159
Phone (586) 228-1760

50505 Schoenherr Rd
Suite 320
Shelby Township, MI 48315-3141
Phone (586) 580-3062

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 22, 2023 Accepting new patients
Cardiology Associates of Michigan, P.C. Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation Internal Medicine CurrentSince Jul 22, 2023 Accepting new patients
Henry Ford Health Providence Hospital Cardiovascular Disease CurrentSince Jan 21, 2026 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 21, 2026 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
Telemed Consultants PLLC Internal Medicine Past Accepting new patients
Eastside Internal Medicine PC Internal Medicine PastSince Jul 1, 2019 Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

4150 S River Rd
Ste D
East China, MI 48054
Phone (810) 329-8870

22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-6530

46591 Romeo Plank Rd
Ste 131
Macomb, MI 48044
Phone (586) 226-6000

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

25910 Kelly Rd
Ste B
Roseville, MI 48066
Phone (586) 772-3366

50505 Schoenherr Rd
Ste 320
Shelby Township, MI 48315
Phone (586) 580-3062

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: matthew.edwards.p1@direct.cardofmich.nextgenshare.com
  • Direct secure messaging: medwards430892@direct.hfhs.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1073877098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "STE 320",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-580-3062",
            "fax_number": "586-580-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019832",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101019832",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "5101019832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.