Matthew Bertolet – Internal Medicine Physician

Key facts

NPI: 1144724006
Entity type: Individual (NPI type 1)
Primary specialty: Internal Medicine Physician 207R00000X
License: OS020243 (PA)
Practice address: 4190 City Ave
Philadelphia, PA 19131-1626
Phone: (215) 871-6770
NPI assigned: Mar 23, 2018
Sex: Male
Sole proprietor: No

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.

Abington Memorial Hospital Hospitalist Physician · Abington, PA · NPI 1770508319

Medicare reassignment NPD INTERNAL MEDICINE · PA
Abington Memorial Hospital General Acute Care Hospital · Abington, PA · NPI 1811992084

NPD (past)

Hospital & facility affiliations 1

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

Abington Memorial Hospital General Acute Care Hospital · Abington, PA · NPI 1811992084

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Internal Medicine
Education: Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Abington Memorial Hospital (442 clinicians)

Practice addresses (Care Compare)

1200 Old York Rd
Suite 2B
Abington, PA 19001-3720
Phone (215) 481-2222

Hospital & facility affiliations

Jefferson Abington Hospital Hospital · Abington, PA · CCN 390231

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210721000924	PA	Practitioner - Internal Medicine	4789087255	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

Practice roles

Organization	Specialty	Status	New patients
Abington Memorial Hospital	Internal Medicine	Current since Jul 19, 2021	Accepting new patients
Abington Memorial Hospital		Past	Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	OS020243	PA	Yes

Addresses

Primary practice location

4190 City Ave
Philadelphia, PA 19131-1626

Mailing address

4190 City Ave
Philadelphia, PA 19131-1626

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.