Individual provider Active NPI

Anne S Matovski, PA-C

  • Physician Assistant
  • Chesterfield, MI
National Provider Identifier
1083953129
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006603 Issued in MI
Practice address
28098 23 Mile Rd
Chesterfield, MI 48051-2316
Phone
(586) 949-0123
Fax
(586) 228-9019
NPI assigned
Feb 9, 2013
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006603 MI Primary

Addresses

Primary practice location

28098 23 Mile Rd
Chesterfield, MI 48051-2316

Mailing address

43740 Garfield Rd
Clinton Township, MI 48038-1122
Phone (586) 228-0270

Other names 1

  • Anne S Simopoulos Former name

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
I20160210000486 MI Practitioner - Physician Assistant 9234433384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Health Systems IncGroup PAC ID 3870481740, 26 clinicians

Practice addresses (Care Compare)

43740 Garfield Rd
Clinton Township, MI 48038-1122
Phone (586) 228-0270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006603MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Systems Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amatovski735358@direct.hfhs.org

Organizations & group practices 3

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 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": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1083953129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43740 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381122",
            "telephone_number": "586-228-0270",
            "fax_number": "586-228-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28098 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512316",
            "telephone_number": "586-949-0123",
            "fax_number": "586-228-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOVSKI",
        "first_name": "ANNE",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-09",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "SIMOPOULOS",
            "middle_name": "S",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.