Matthew Lawrence Prusz

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

520 W Fayette St Ste 300
Baltimore, MD 21201-1756

Phone

(301) 974-1614

NPI assigned

Sep 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Maryland School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magnolia Medical CompanyGroup PAC ID 0749548253, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIFJBD/Endpoint/GIFJBD

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.

• Magnolia Medical Company

  • Clinical Medical Laboratory
  • Denver, CO
  • NPI 1427543586
  Medicare reassignment Care Compare group
• Magnolia Medical Company

  • Addiction Medicine (Internal Medicine) Physician
  • Wheat Ridge, CO
  • NPI 1477271997
  NPD
• Magnolia Medical Group

  • Addiction Medicine (Internal Medicine) Physician
  • Denver, CO
  • NPI 1003672619
  NPD
• Magnolia Medical

  • Psychologist
  • Denver, CO
  • NPI 1346609302
  NPD (past)

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1154109239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 PATAPSCO ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W FAYETTE ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011756",
            "telephone_number": "301-974-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSZ",
        "first_name": "MATTHEW",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Pruitt, M.D.
• Margaret Manning Pruitt, PT, DPT
• Shanteisha Pruitt, ATC
• Jylene Candelaria Pruna, PT
• April Pruski, MD
• Emily Grace Gerard Pryal, MD
• Patrick Francis Pryal
• Katherine Marie Prybys, D.O.
• Tracy M. Pryce, LCSW-C
• Stuart D. Prymas, D.D.S.

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.