NPIMap

Individual provider Active NPI

Matthew Glick, D.O.

  • Family Medicine Physician
  • Forney, TX
National Provider Identifier
1285694489
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0207 Issued in TX
Practice address
108 E. Hwy 80
Suite 150
Forney, TX 75126
Phone
(972) 564-4444
Fax
(833) 320-1559
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L0207 TX Primary

Addresses

Primary practice location

108 E. Hwy 80
Suite 150
Forney, TX 75126

Mailing address

108 E. Hwy 80
Suite 150
Forney, TX 75126
Phone (972) 564-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090330000206 TX Practitioner - Family Practice 2062579493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Kaufman Orthopedic Pain Management PLLCGroup PAC ID 6507186400, 6 clinicians
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

108 E US Hwy 80
Suite 150
Forney, TX 75126-8703
Phone (972) 564-4444

874 Ed Hall Dr
Suite B108
Kaufman, TX 75142-1861
Phone (972) 932-5555

Hospital & facility affiliations

  • Your Health Team LLC Home health agency, Kaufman, TX, CCN 679496
  • Enhabit Hospice Hospice, Kemp, TX, CCN 451793
  • Alinea Family Hospice Care LLC Hospice, Terrell, TX, CCN 671766
  • Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Kaufman Orthopedic Pain Management, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2009 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Deuteronomy Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

108 E US Highway 80
Ste 150
Forney, TX 75126
Phone (972) 564-4444

874 Ed Hall Dr
Ste 108
Kaufman, TX 75142
Phone (972) 932-5555

874 Ed Hall Dr
Ste B108
Kaufman, TX 75142
Phone (972) 932-5555

4000 Old Jacksboro Hwy
Wichita Falls, TX 76302
Phone (940) 239-9136

Interoperability endpoints

  • Direct secure messaging: mglick15512@direct.texashealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit HospiceKemp, TX, CCN 451793 Hospice Contracted Managing Employee Aug 9, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1285694489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E. HWY 80",
            "address_2": "SUITE 150",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "972-564-4444",
            "fax_number": "833-320-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E. HWY 80",
            "address_2": "SUITE 150",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "972-564-4444",
            "fax_number": "833-320-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.