NPIMap

Individual provider Active NPI

Dean H Matsuura, MD

  • Nephrology Physician
  • York, PA
National Provider Identifier
1104892223
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD057437L Issued in PA
Practice address
1920 Queenswood Dr
Sutie 200
York, PA 17403-4269
Phone
(717) 747-3566
Fax
(717) 747-3678
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD057437L PA Primary

Addresses

Primary practice location

1920 Queenswood Dr
Sutie 200
York, PA 17403-4269

Mailing address

1920 Queenswood Dr
Suite 200
York, PA 17403-4269
Phone (717) 747-3566

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
I20051108000824 PA Practitioner - NephrologyPractitioner - Internal Medicine 8224056205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of York PCGroup PAC ID 8123093002, 8 clinicians

Practice addresses (Care Compare)

191 Wilson Ave
Hanover, PA 17331-1469
Phone (717) 747-3566

1920 Queenswood Dr
York, PA 17403-4269
Phone (717) 747-3566

Hospital & facility affiliations

  • USRC Central York Dialysis facility, York, PA, CCN 392790
  • USRC York Dialysis facility, York, PA, CCN 392731
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

Merit-based Incentive Payment System (MIPS)

Final score
87.71 of 100Reported as group
Quality
75.92
Improvement activities
40
Cost
74.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD057437LPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of York PC Nephrology CurrentSince Aug 1, 2007 Accepting new patients
Usrc Central York LLC PastSince Jul 1, 2012 Accepting new patients
Southern Illinois Consultants for Kidney Disease, S.C. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hershey Kidney Specialists Inc Nephrology PastSince Oct 1, 2004 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Past Accepting new patients

Locations

1920 Queenswood Dr
#200
York, PA 17403
Phone (717) 747-3566

Interoperability endpoints

  • Direct secure messaging: dmatsuura@nephrologyyork.medentdirect.com

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1104892223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 QUEENSWOOD DR",
            "address_2": "SUITE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034269",
            "telephone_number": "717-747-3566",
            "fax_number": "717-747-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 QUEENSWOOD DR",
            "address_2": "SUTIE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034269",
            "telephone_number": "717-747-3566",
            "fax_number": "717-747-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUURA",
        "first_name": "DEAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD057437L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.