Individual provider Active NPI

Matthew Aaron Pflieger, DO

  • Family Medicine Physician
  • Huntington, IN
National Provider Identifier
1184770703
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02004809A Issued in IN
Practice address
225 Hauenstein Rd
Huntington, IN 46750-8803
Phone
(260) 204-0505
NPI assigned
Jan 26, 2007
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02004809A IN Primary

Addresses

Primary practice location

225 Hauenstein Rd
Huntington, IN 46750-8803

Mailing address

225 Hauenstein Rd
Huntington, IN 46750-8803
Phone (260) 204-0505

Other identifiers 1

IdentifierTypeStateIssuer
300000275MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 28, 2017 through Aug 28, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02004809AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Family Medicine Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1184770703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HAUENSTEIN RD",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467508803",
            "telephone_number": "260-204-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HAUENSTEIN RD",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467508803",
            "telephone_number": "260-204-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLIEGER",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004809A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300000275",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, IN

Sources for this page

Verify at the official NPI Registry.