Individual provider Active NPI

Michael E Matos, MD

  • Pediatric Endocrinology Physician
  • Wolfeboro, NH
National Provider Identifier
1184677312
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
11966 Issued in NH
Practice address
240 S Main St Medical Arts Ste C
Wolfeboro, NH 03894
Phone
(603) 569-7620
Fax
(603) 569-7619
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 11966 NH Primary

Addresses

Primary practice location

240 S Main St Medical Arts Ste C
Wolfeboro, NH 03894

Mailing address

P O Box 912
Wolfeboro, NH 03894-0912
Phone (603) 569-7620

Other identifiers 1

IdentifierTypeStateIssuer
30203628MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hugginshospitalxdr.meditech.cloud:443/services/hugma/huglive20402n/maasliven/dir Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040707001099 NH Practitioner - Pediatric MedicinePractitioner - Endocrinology 9032196027 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11966NHMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center Current Accepting new patients
Huggins Hospital CurrentSince Aug 1, 2015 Accepting new patients
Huggins Hospital CurrentSince Aug 1, 2015 Accepting new patients
Dartmouth-Hitchcock Clinic Past Accepting new patients
Huggins Hospital Past Accepting new patients

Locations

240 S Main St
Ste C
Wolfeboro, NH 03894
Phone (603) 569-7620

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Interoperability endpoints

  • Direct secure messaging: michaelmatos@huggins.medalliesdirect.net
  • Direct secure messaging: michaelmatos@gohnh.allscriptsdirect.net

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1184677312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 912",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038940912",
            "telephone_number": "603-569-7620",
            "fax_number": "603-569-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST MEDICAL ARTS STE C",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "03894",
            "telephone_number": "603-569-7620",
            "fax_number": "603-569-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NH",
            "license": "11966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203628",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hugginshospitalxdr.meditech.cloud:443/services/hugma/huglive20402n/maasliven/dir",
            "affiliation": "N",
            "endpointDescription": "Primary XD Endpoint",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "240 S Main St Medical Arts Ste C",
            "city": "Wolfeboro",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.