Individual provider Active NPI

Matthew Guy Gugliotti, M.D.

  • Family Medicine Physician
  • New Middletown, OH
National Provider Identifier
1144456476
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
093490 Issued in OH
Practice address
170 Sandy CT Unit 3
New Middletown, OH 44442-7712
Phone
(330) 542-9502
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 093490 OH Primary

Addresses

Primary practice location

170 Sandy CT Unit 3
New Middletown, OH 44442-7712

Mailing address

170 Sandy CT Unit 3
New Middletown, OH 44442-7712
Phone (330) 542-9502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805001119 OH Practitioner - Family Practice 7618000936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poland Medical Center LTDGroup PAC ID 3678572559, 10 clinicians
Addiction Outreach Clinic LTDGroup PAC ID 5294183893, 11 clinicians

Practice addresses (Care Compare)

6615 Clingan Rd
Poland, OH 44514-2196

819 McKay CT
Suite 102
Boardman, OH 44512-5771
Phone (330) 259-4849

Hospital & facility affiliations

  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as group
Quality
73.84
Improvement activities
40
Cost
76.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
093490OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Outreach Clinic LTD CurrentSince Nov 1, 2023 Accepting new patients
Poland Medical Center LTD Family Medicine CurrentSince Jul 1, 2010 Accepting new patients

Locations

5342 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-2200

6615 Clingan Rd
Ste A
Youngstown, OH 44514
Phone (330) 707-1425

819 McKay Ct
Youngstown, OH 44512
Phone (330) 726-2071

819 McKay Ct
Ste 102
Youngstown, OH 44512
Phone (330) 259-4849

6615 Clingan Rd
Ste C
Youngstown, OH 44514
Phone (330) 757-7888

Interoperability endpoints

  • Direct secure messaging: mgugliotti@polandmedical.medentdirect.com

Organizations & group practices 2

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 4

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1144456476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SANDY CT UNIT 3",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444427712",
            "telephone_number": "330-542-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SANDY CT UNIT 3",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444427712",
            "telephone_number": "330-542-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGLIOTTI",
        "first_name": "MATTHEW",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "093490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Middletown, OH

Sources for this page

Verify at the official NPI Registry.