Individual provider Active NPI

Matthew Pichert, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Port Huron, MI
National Provider Identifier
1295266112
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
4301514183 Issued in MI
Practice address
1117 Stone St Ste 1
Port Huron, MI 48060-3525
Phone
(810) 488-8480
NPI assigned
Mar 22, 2017
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301514183 MI Primary

Addresses

Primary practice location

1117 Stone St Ste 1
Port Huron, MI 48060-3525

Mailing address

1117 Stone St Ste 1
Port Huron, MI 48060-3525
Phone (810) 488-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250716002189 MI Practitioner - Thoracic Surgery 2466723481 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Port HuronGroup PAC ID 9931018702, 48 clinicians
McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000

1375 N Main St
Lapeer, MI 48446-1350
Phone (810) 667-5677

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2063

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Lapeer Region Current Accepting new patients
McLaren Lapeer Region CurrentSince Jul 1, 2025 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
McLaren Flint CurrentSince Jul 1, 2025 Accepting new patients
McLaren Greater Lansing Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2025 Accepting new patients
McLaren Flint CurrentSince Jul 1, 2025 Accepting new patients
McLaren Port Huron Current Accepting new patients
McLaren Macomb CurrentSince Feb 17, 2026 Accepting new patients
McLaren Bay Region Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2025 Accepting new patients
McLaren Port Huron CurrentSince Jun 23, 2025 Accepting new patients
McLaren Lapeer Region CurrentSince Jul 1, 2025 Accepting new patients
McLaren Bay Region CurrentSince Jul 1, 2025 Accepting new patients
McLaren Greater Lansing CurrentSince Jul 1, 2025 Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780

1200 Barry Dr
Lapeer, MI 48446
Phone (810) 664-4532

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1117 Stone St
Ste 1
Port Huron, MI 48060
Phone (810) 488-8480

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450

Interoperability endpoints

  • Direct secure messaging: mpichert336904@direct.ynhh.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1295266112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 STONE ST STE 1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603525",
            "telephone_number": "810-488-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 STONE ST STE 1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603525",
            "telephone_number": "810-488-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHERT",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301514183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.