Matthew W Brown, MD
Individual provider Active NPI Surgery Physician · Wakefield, MA
NPI 1154436210 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1154436210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 238213 (MA)
- Practice address
- 888 Main St Ste 101
Wakefield, MA 01880-4080 - Phone
- (781) 620-4888
- Fax
- (781) 245-2602
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Michigan State University College of Human Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hallmark Health Medical Associates Inc
Practice addresses (Care Compare)
425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606
585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000
888 Main St
Wakefield, MA 01880-4080
Phone (781) 620-4888
Hospital & facility affiliations
- Melrosewakefield Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 117 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20081031000167 | MA | Practitioner - General Surgery | 4284634791 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2006-0202 | NM | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hallmark Health Medical Associates Inc | Surgery | Current |
Accepting new patients |
| Melrosewakefield Healthcare, Inc. | Past | Accepting new patients |
Locations
425 Revere St
Revere, MA 02151
Phone (781) 286-1313
91 Montvale Ave
Ste 208
Stoneham, MA 02180
Phone (781) 279-1123
888 Main St
Ste 101
Wakefield, MA 01880
Phone (781) 620-4888
Interoperability endpoints
- mbrown23924@tuftsmedicine.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD2006-0202 | NM | |
| Surgery Physician | 208600000X | 238213 | MA | Yes |
Addresses
Primary practice location
888 Main St Ste 101
Wakefield, MA 01880-4080
Mailing address
888 Main St Ste 101
Wakefield, MA 01880-4080
Phone (781) 620-4888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49808818 | Medicaid | NM |
Other providers in Wakefield, MA
- Lauren E Brierly
- Mary Rose Briggs
- Brightview Wakefield, LLC
- Brown Dog Therapy and Wellness, LLC
- Evangeline Brown
- Mark F Bryan
- Davis Bu
- Courtney Bua
- Brittany Alyson Buckley-Shelton
- Kassidy Bumford
All providers in Wakefield, MA · Surgery Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 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.