Active NPI
Kira Matrunetski, D.O.
- Hospitalist Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS020310
- Practice address
- Brady Medical Arts Building
205 S Front St, 9TH Floor, Suite 911
Harrisburg, PA 17104 - Phone
- (717) 221-6243
- Fax
- (215) 345-2552
- NPI assigned
- Mar 12, 2017
- Last updated
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | OS020310 | PA | |
| Hospitalist Physician | 208M00000X | OS020310 | PA | Primary |
Addresses
Primary practice location
Brady Medical Arts Building
205 S Front St, 9TH Floor, Suite 911
Harrisburg, PA 17104
Mailing address
3600 Forbes Avenue Forbes Tower
Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (267) 370-5296
Other practice location 1
4190 City Ave
Philadelphia, PA 19131-1626
Phone (215) 871-6690
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Affiliates | Current | Accepting new patients | |
| Via Affiliates | Hospitalist | Current | Accepting new patients |
| Via Affiliates | Current | Accepting new patients |
Locations
595 W State St
Doylestown, PA 18901
Phone (215) 345-2200
Organizations & group practices 3
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.
-
dba Doylestown Health Vascular Surgery
- Vascular Surgery Physician
- Doylestown, PA
- NPI 1003446261
-
dba Doylesotwn Health Hospitalists
- Hospitalist Physician
- Doylestown, PA
- NPI 1437687266
-
- Psychologist
- Warrington, PA
- NPI 1588489272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1215478177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE FORBES TOWER",
"address_2": "PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "267-370-5296",
"fax_number": "215-230-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRADY MEDICAL ARTS BUILDING",
"address_2": "205 S FRONT ST, 9TH FLOOR, SUITE 911",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17104",
"telephone_number": "717-221-6243",
"fax_number": "215-345-2552"
}
],
"practiceLocations": [
{
"address_1": "4190 City Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191311626",
"country_code": "US",
"telephone_number": "215-871-6690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATRUNETSKI",
"first_name": "KIRA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-12",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS020310",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS020310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.