Individual provider Active NPI

Matthew S. Targoff, D.O.

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1184666513
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS13697 Issued in FL
Practice address
9015 Strada Stell CT
Ste 201
Naples, FL 34109-4373
Phone
(239) 597-0196
Fax
(239) 597-5628
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS13697 FL Primary
Psychiatry Physician 2084P0800X 120571-1 NY

Addresses

Primary practice location

9015 Strada Stell CT
Ste 201
Naples, FL 34109-4373

Mailing address

6360 Techster Blvd
Ste 1
Fort Myers, FL 33966-4805
Phone (239) 223-2751

Other identifiers 1

IdentifierTypeStateIssuer
6234955MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160610000823 FL Practitioner - Psychiatry 1254226434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2230 Venetian CT
Suite 1
Naples, FL 34109-8727
Phone (239) 236-5448

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13697FLMDPsychiatry Physician
120571-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Sep 12, 2016 Accepting new patients
Dna Comprehensive Therapy Services, LLC Psychiatry CurrentSince Sep 12, 2016 Accepting new patients
Innovative Psychiatricare PC Psychiatry CurrentSince Aug 14, 2012 Accepting new patients
Inpatient Consultants of Florida, Inc Psychiatry CurrentSince Apr 25, 2016 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Apr 25, 2016 Accepting new patients
Psychiatric Associates of Northeast Iowa PC Past Accepting new patients
Black Hawk-Grundy Mental Health Center Inc. PastSince Jul 1, 1990 Accepting new patients

Locations (25 of 37)

5325 E State Road 64
Ste B
Bradenton, FL 34208
Phone (813) 970-3402

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 655-6367

11371 Cortez Blvd
Ste 210
Brooksville, FL 34613
Phone (352) 616-7600

418 SW 47th Ter
Cape Coral, FL 33914
Phone (239) 673-9034

14000 S Military Trl
Ste 208
Delray Beach, FL 33484
Phone (561) 563-7110

9401 Corkscrew Palms Cir
Fl 3
Estero, FL 33928

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

6360 Techster Blvd
Ste 1
Fort Myers, FL 33966
Phone (238) 223-2751

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

2600 S Florida Ave
Lakeland, FL 33803
Phone (863) 732-7200

2913 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 368-9900

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 986-7442

2230 Venetian Ct
Ste 1
Naples, FL 34109
Phone (239) 236-5448

7623 Little Rd
Ste 300B
New Port Richey, FL 34654
Phone (727) 910-5990

1201 US Highway 1
Ste 250
North Palm Beach, FL 33408
Phone (561) 747-2775

2910 Maguire Rd
Ste 2002
Ocoee, FL 34761
Phone (407) 287-1664

1542 Kingsley Ave
Ste 136137
Orange Park, FL 32073
Phone (904) 458-7780

1532 Kingsley Ave
Ste 112
Orange Park, FL 32073
Phone (904) 214-3222

3157 N Alafaya Trl
Orlando, FL 32826
Phone (407) 215-0095

285 Clyde Morris Blvd
#300B
Ormond Beach, FL 32174

1115 E Gonzalez St
Pensacola, FL 32503
Phone (850) 483-1145

1777 Tamiami Trl
Ste 201
Port Charlotte, FL 33948
Phone (941) 249-4354

3191 Harbor Blvd
Ste B
Port Charlotte, FL 33952
Phone (941) 624-2141

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

Interoperability endpoints

  • Direct secure messaging: matthew.targoff.1@13142.direct.athenahealth.com

Organizations & group practices 7

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1184666513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 TECHSTER BLVD",
            "address_2": "STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664805",
            "telephone_number": "239-223-2751",
            "fax_number": "239-561-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 STRADA STELL CT",
            "address_2": "STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094373",
            "telephone_number": "239-597-0196",
            "fax_number": "239-597-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARGOFF",
        "first_name": "MATTHEW",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS13697",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "120571-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6234955",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.