Individual provider Active NPI

Matthew Trese, DO

  • Retina Specialist (Ophthalmology) Physician
  • Royal Oak, MI
National Provider Identifier
1174973416
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
5101025415 Issued in MI
Practice address
3555 W 13 Mile Rd Ste LL-20
Royal Oak, MI 48073-6710
Phone
(248) 288-2280
Fax
(248) 288-5644
NPI assigned
Jun 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101022292 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 5101025415 MI Primary

Addresses

Primary practice location

3555 W 13 Mile Rd Ste LL-20
Royal Oak, MI 48073-6710

Mailing address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200421001208 MI Practitioner - Ophthalmology 8123312949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians

Practice addresses (Care Compare)

3555 W 13 Mile Rd
Suite LL 20
Royal Oak, MI 48073-6710
Phone (248) 288-2280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022292MIMDInternal Medicine Physician
5101025415MIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Jul 1, 2020 Accepting new patients
Associated Retinal Consultants, PC Ophthalmology CurrentSince Jun 15, 2020 Accepting new patients
Alliance Physicians Inc Internal Medicine PastSince Jun 15, 2020 Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

952 N Center Ave
Gaylord, MI 49735
Phone (989) 448-0937

36650 5 Mile Rd
Ste 102
Livonia, MI 48154
Phone (734) 464-2300

2140 University Park Dr
Ste 230
Okemos, MI 48864
Phone (517) 518-3056

4085 Cedar Bluff Dr
Petoskey, MI 49770
Phone (231) 439-9230

1000 W University Dr
Ste 102
Rochester, MI 48307
Phone (248) 652-7400

3555 W 13 Mile Rd
#20
Royal Oak, MI 48073
Phone (248) 288-2269

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

3601 W 13 Mile Rd
Royal Oak, MI 48073

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

3555 W 13 Mile Rd
Ste LL20
Royal Oak, MI 48073
Phone (248) 288-2280

25631 Little Mack Ave
Ste 201
St Clr Shores, MI 48081
Phone (586) 443-2930

860 E Front St
Traverse City, MI 49686
Phone (231) 938-0710

Interoperability endpoints

  • Direct secure messaging: matrese@arcmi.intellechartdirect.net

Organizations & group practices 4

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 3

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1174973416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W 13 MILE RD STE LL-20",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2280",
            "fax_number": "248-288-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESE",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101022292",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "5101025415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.