Active NPI
Dorota Matusewicz, M.D.
- Internal Medicine Physician
- Clearwater, FL
National Provider Identifier
1194892679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME78543
- Practice address
- 3023 Eastland Blvd
Suite 107
Clearwater, FL 33761-3823 - Phone
- (727) 669-1616
- Fax
- (727) 726-4905
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME78543 | FL | Primary |
Addresses
Primary practice location
3023 Eastland Blvd
Suite 107
Clearwater, FL 33761-3823
Mailing address
3023 Eastland Blvd.
Suite 107
Clearwater, FL 33761-3823
Phone (727) 669-1616
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
- Opted out of Medicare
- Previously, effective Aug 17, 2012 through Aug 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1194892679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 EASTLAND BLVD.",
"address_2": "SUITE 107",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613823",
"telephone_number": "727-669-1616",
"fax_number": "727-726-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 EASTLAND BLVD",
"address_2": "SUITE 107",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613823",
"telephone_number": "727-669-1616",
"fax_number": "727-726-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUSEWICZ",
"first_name": "DOROTA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME78543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.