Individual provider Active NPI

Victoria Lynn Matasy, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1184612475
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD050666L Issued in PA
Practice address
651 Holiday Dr
Pittsburgh, PA 15220-2740
Phone
(412) 922-8490
Fax
(412) 921-1194
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD050666L PA Primary

Addresses

Primary practice location

651 Holiday Dr
Pittsburgh, PA 15220-2740

Mailing address

651 Holiday Dr
Pittsburgh, PA 15220-2740
Phone (412) 922-8490

Other identifiers 1

IdentifierTypeStateIssuer
0014234040002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031229000039 PA Practitioner - Internal Medicine 2264330323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Healthcare ServicesGroup PAC ID 9830256874, 5 clinicians

Practice addresses (Care Compare)

316 Station St
Suite 100
Bridgeville, PA 15017-1833
Phone (412) 221-1091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Health Care Management Services LLC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4262 Old William Penn Hwy
Ste 200
Murrysville, PA 15668
Phone (410) 668-4444

900 Parish St
Ste 315
Pittsburgh, PA 15220
Phone (410) 668-4444

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1184612475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 HOLIDAY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202740",
            "telephone_number": "412-922-8490",
            "fax_number": "412-921-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HOLIDAY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202740",
            "telephone_number": "412-922-8490",
            "fax_number": "412-921-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATASY",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD050666L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014234040002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.