Mathew W Lively, M. D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

1445 Issued in WV

Practice address

2195 Cheat Rd Ste 2
Morgantown, WV 26508-4516

Phone

(304) 594-0456

Fax

(304) 594-3249

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Internal MedicineAlso: Pediatric Medicine, Sports Medicine

Education

West Virginia University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountaineer Orthopedic Specialists LLCGroup PAC ID 4486672300, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mountaineer Orthopedic Specialists, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Morgantown, WV
  • NPI 1568522258
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monongalia County General Hospital Company

  • Specialist
  • Morgantown, WV
  • NPI 1447673223

  Hospital

  Care Compare affiliation
• Monongalia County General Hospital Company

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  Care Compare affiliation
• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1255444592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 CHEAT RD STE 2",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084516",
            "telephone_number": "304-594-0456",
            "fax_number": "304-594-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 CHEAT RD STE 2",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084516",
            "telephone_number": "304-594-0456",
            "fax_number": "304-594-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "MATHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WV",
            "license": "1445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048724000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Victoria Lites
• Lucy Litten
• Shirley Kathern Little
• I-Chen Liu, MA. LPC. NCC.
• Jeffrey F Liubicich, M.D.
• Living Water Counseling Services
• Adam B. Lizak
• Laurel Victoria Lloyd, MD
• Samara Loar, NP-C
• Erin Kathleen Lobach, PHARMD

• Rheumatology Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Rheumatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.