NPIMap

Individual provider Active NPI

Matthew George Loose, DO

  • Family Medicine Physician
  • Annville, PA
National Provider Identifier
1124401054
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018483 Issued in PA
Practice address
1251 E Main St
Annville, PA 17003-1643
Phone
(717) 867-4671
Fax
(717) 867-4981
NPI assigned
Jul 9, 2015
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 2025-04277 NC
Family Medicine Physician 207Q00000X OS018483 PA Primary

Addresses

Primary practice location

1251 E Main St
Annville, PA 17003-1643

Mailing address

1251 E Main St
Annville, PA 17003-1643
Phone (717) 867-4671

Other practice location 1

1134 N Road St Bldg 9B
Elizabeth City, NC 27909-3322
Phone (252) 337-3444

Other identifiers 1

IdentifierTypeStateIssuer
103328630MedicaidPA

Other names 1

  • Matthew G Loose Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mloose6552@PinnacleHealthSystem.direct-ci-cert.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190715000272 PA Practitioner - Family Practice 7214231091 Reassigns benefits to 1 organization
I20260331003145 NC Practitioner - Family Practice 7214231091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1251 E Main St
Annville, PA 17003-1643

1251 E Main Street
Annville, PA 17003-1643

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-04277NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2019 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Sentara Albemarle Regional Medical Center Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

1251 E Main St
Annville, PA 17003
Phone (717) 867-4671

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

Interoperability endpoints

  • Direct secure messaging: mloose294778@upmc.direct-ci.com
  • Direct secure messaging: mloose6552@pinnaclehealthsystem.direct-ci-cert.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1124401054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 N Road St Bldg 9B",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093322",
            "country_code": "US",
            "telephone_number": "252-337-3444",
            "fax_number": "800-707-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOSE",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2025-04277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103328630",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mloose6552@PinnacleHealthSystem.direct-ci-cert.com",
            "affiliation": "N",
            "address_1": "1251 E Main St",
            "city": "Annville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170031643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "LOOSE",
            "middle_name": "G",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Annville, PA

Sources for this page

Verify at the official NPI Registry.