Individual provider Active NPI

Matthew A Vargo, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
National Provider Identifier
1134196017
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
070172 Issued in NC
Practice address
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone
(704) 384-4239
Fax
(704) 384-5636
NPI assigned
Mar 1, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN116871 GA
Certified Registered Nurse Anesthetist 367500000X RN101773 TN
Certified Registered Nurse Anesthetist 367500000X APN10846 TN
Certified Registered Nurse Anesthetist 367500000X 070172 NC Primary

Addresses

Primary practice location

200 Hawthorne LN
Charlotte, NC 28204-2515

Mailing address

13113 Atkins Circle Dr
Apt 101
Charlotte, NC 28277-3777
Phone (704) 384-4274

Other identifiers 2

IdentifierTypeStateIssuer
363218MedicaidTN
NAN817MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MVARGO46369@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, SC, TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20051114000580 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729007372 Reassigns benefits to 1 organization
I20070814000707 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729007372 Reassigns benefits to 1 organization
I20080827000738 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729007372 Reassigns benefits to 1 organization
I20211201000493 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729007372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (865) 546-8040

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525

4710 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (423) 495-2525

9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040

941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (865) 546-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3638SCMDPediatric Dentist
070172NCMDCertified Registered Nurse Anesthetist
APN10846TNMDCertified Registered Nurse Anesthetist
RN101773TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 24, 2021 Accepting new patients
Piedmont Triad Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Oct 24, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jul 1, 2024 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Jul 1, 2024 Accepting new patients
CMC-Northeast, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered PastSince Jan 1, 2006 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Ambulatory Anesthesia of Pinehurst, PA Past Accepting new patients
The Presbyterian Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
York County Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
Gaston Anesthesia Associates, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

145 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-1770

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

2515 Desales Ave
Chattanooga, TN 37404
Phone (423) 648-6672

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Interoperability endpoints

  • Direct secure messaging: mvargo46369@direct.novanthealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1134196017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13113 ATKINS CIRCLE DR",
            "address_2": "APT 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773777",
            "telephone_number": "704-384-4274",
            "fax_number": "704-384-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-384-4239",
            "fax_number": "704-384-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGO",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN116871",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN101773",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN10846",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "070172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363218",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN817",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MVARGO46369@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "200 Hawthorne Ln",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.