Individual provider Active NPI

Matthew James Laubert, CNP

  • Family Nurse Practitioner
  • Middleburg Heights, OH
National Provider Identifier
1255966057
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026468 Issued in OH
Practice address
15299 Bagley Rd Ste 300
Middleburg Heights, OH 44130-4809
Phone
(440) 816-5091
NPI assigned
Mar 12, 2020
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.026468 OH Primary

Addresses

Primary practice location

15299 Bagley Rd Ste 300
Middleburg Heights, OH 44130-4809

Mailing address

15299 Bagley Rd Ste 300
Middleburg Heights, OH 44130-4809

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlaubert@direct.swgeneral.com Southwest General Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618003052 OH Practitioner - Nurse Practitioner 1658793799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15299 Bagley Rd
Suite 300
Cleveland, OH 44130-4823
Phone (440) 816-5091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026468OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc CurrentSince Jun 1, 2020 Accepting new patients
Southwest General Medical Group Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

15299 Bagley Rd
Ste 300
Middleburg Heights, OH 44130
Phone (440) 234-5150

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

25761 Lorain Rd
Fl 3
North Olmsted, OH 44070
Phone (440) 779-1112

Interoperability endpoints

  • Direct secure messaging: mlaubert@direct.swgeneral.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1255966057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15299 BAGLEY RD STE 300",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15299 BAGLEY RD STE 300",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304809",
            "telephone_number": "440-816-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBERT",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlaubert@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group, Inc.",
            "address_1": "15299 Bagley Rd Ste 300",
            "city": "Middleburg Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441304809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.