Individual provider Active NPI

Matthew Russell Hanson, MD

  • Dermatology Physician
  • Newark, DE
National Provider Identifier
1285896829
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C1-0009352 Issued in DE
Practice address
537 Stanton Christiana Road, Siute 107
Apex Medical Center
Newark, DE 19713-0000
Phone
(302) 633-7550
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MT185849 PA
Dermatology Physician 207N00000X C1-0009352 DE Primary
Dermatopathology Physician 207ND0900X C1-0009352 DE
Dermatopathology Physician 207ND0900X MD436874 PA

Addresses

Primary practice location

537 Stanton Christiana Road, Siute 107
Apex Medical Center
Newark, DE 19713-0000

Mailing address

537 Stanton Christiana Rd
Ste 207
Newark, DE 19713-2148
Phone (215) 762-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100524000674 DE Practitioner - DermatologyPractitioner - Other (Physician) 1052440484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panzer Dermatology AssociatesGroup PAC ID 6103724745, 24 clinicians

Practice addresses (Care Compare)

537 Stanton Christiana Rd
Suite 207
Newark, DE 19713-2148
Phone 3026337550229

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
69.25
Promoting interoperability
100
Improvement activities
40
Cost
45.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of skin lesions1280
Removal of nail tissue1-10
Skin biopsy346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0009352DEMDDermatology Physician
MT185849PAMDDermatology Physician
MD436874PAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panzer Dermatology Associates CurrentSince Apr 13, 2010 Accepting new patients
Delaware Center for Digestive Care LLC PastSince Apr 13, 2010 Accepting new patients
Premier Dermatology Past Accepting new patients

Locations

537 Stanton Christiana Rd
Ste 207207
Newark, DE 19713

537 Stanton Christiana Rd
Ste 207
Newark, DE 19713
Phone (302) 633-7550

537 Stanton Christiana Rd
Newark, DE 19713
Phone (302) 225-2380

537 Stanton Christiana Rd
Ste 209
Newark, DE 19713
Phone (302) 225-0175

537 Stanton Christiana Rd
Ste 107
Newark, DE 19713
Phone (302) 633-7550

537 Stanton Christiana Rd
#A
Newark, DE 19713
Phone (302) 633-7550

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 and National Provider Directory roles.

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1285896829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "STE 207",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132148",
            "telephone_number": "215-762-5550",
            "fax_number": "215-762-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA ROAD, SIUTE 107",
            "address_2": "APEX MEDICAL CENTER",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197130000",
            "telephone_number": "302-633-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MATTHEW",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT185849",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C1-0009352",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "DE",
            "license": "C1-0009352",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD436874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.