Matthew A Molenda, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35097316 Issued in OH

Practice address

2000 Regency CT Ste 201
Toledo, OH 43623-3075

Phone

(419) 948-3376

Fax

(419) 665-3632

NPI assigned

Jul 16, 2007

Last updated

Oct 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Northeastern Ohio University College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bravia Dermatology Group LLCGroup PAC ID 3678856671, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.02 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

30.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bravia Dermatology Group, LLC

  dba Bravia Dermatology

  • Dermatology Physician
  • Holland, OH
  • NPI 1356884837
  Medicare reassignment Care Compare group Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1164621579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 REGENCY CT STE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233075",
            "telephone_number": "419-948-3376",
            "fax_number": "419-665-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 REGENCY CT STE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233075",
            "telephone_number": "419-948-3376",
            "fax_number": "419-665-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1252 Ralston Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435121480",
            "country_code": "US",
            "telephone_number": "419-948-3376",
            "fax_number": "419-665-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 N Macomb St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481622904",
            "country_code": "US",
            "telephone_number": "419-948-3376",
            "fax_number": "419-665-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLENDA",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35097316",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35097316",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35097316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imad Moiduddin, M.D.
• Ariba Moin
• Kemunto Mokora
• Jasmine Mold
• Julia Rose Molek, CT
• Cynthia Lee Moll, LPN
• Karen Mollenkopf
• Danielle N Molnar
• Halle Molnar, PA
• Bryan Christopher Moloney, M.D.

• Dermatology Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.