Individual provider Active NPI

Kira Matrunetski, D.O.

  • Hospitalist Physician
  • Harrisburg, PA
National Provider Identifier
1215478177
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS020310 Issued in PA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603002920 PA Practitioner - HospitalistPractitioner - Internal Medicine 9931470945 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
Via Affiliates Hospitalist CurrentSince Jun 30, 2020 Accepting new patients
Via Affiliates CurrentSince Jun 30, 2020 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.

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

Verify at the official NPI Registry.