Matthew Jay Priddy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01054545A Issued in IN

Practice address

12174 N Meridian St Ste 300
Carmel, IN 46032-4578

Phone

(317) 688-9000

Fax

(317) 680-9900

NPI assigned

Feb 15, 2007

Last updated

Nov 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 11, 2017 through Jul 11, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.priddy@74938637221892.direct.elationemr.com
• Direct secure messaging: matthew.priddy@626423668604932.direct.elationemr.com

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.

• Priority Physicians of Fishers, LLC

  • Primary Care Clinic/Center
  • Fishers, IN
  • NPI 1740734201
  NPD
• Priority Physicians, Inc.

  • Primary Care Clinic/Center
  • Carmel, IN
  • NPI 1487097994
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1265575708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12174 N MERIDIAN ST STE 300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-688-9000",
            "fax_number": "317-680-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12174 N MERIDIAN ST STE 300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-688-9000",
            "fax_number": "317-680-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDDY",
        "first_name": "MATTHEW",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054545A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.priddy@74938637221892.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12174 N Meridian St Ste 300",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kari Preston, RPH
• Prevail MD Professional LLC
• Alexander Price, LMHCA
• Chad E Price
• Daniel Allen Price, DDS
• Primary Care Medical Home
• Primelife Enrichment, Inc.
• Primelife Enrichment, Inc.
• Benjamin Bruce Pringle, RN
• Priority Physicians, Inc.

• Family Medicine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.

Verify at the official NPI Registry.