Individual provider Active NPI

Matthew Carl Andresen, MD

  • Family Medicine Physician
  • Broadview Heights, OH
National Provider Identifier
1295909539
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.097756 Issued in OH
Practice address
8075 Town Centre Dr Ste E
Broadview Heights, OH 44147-4011
Phone
(440) 717-6100
Fax
(440) 546-1382
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 35.097756 OH Primary

Addresses

Primary practice location

8075 Town Centre Dr Ste E
Broadview Heights, OH 44147-4011

Mailing address

8075 Town Centre Dr Ste E
Broadview Heights, OH 44147-4011
Phone (440) 717-6100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000597 OH Practitioner - Family Practice 4981874005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadview Heights Family Medicine, IncGroup PAC ID 2567420508, 3 clinicians

Practice addresses (Care Compare)

2001 E Royalton Rd
Suite C
Broadview Heights, OH 44147-2811
Phone (440) 717-6100

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Broadview Heights Family Medicine, Inc Family Medicine CurrentSince Sep 1, 2012 Accepting new patients

Locations

2001 E Royalton Rd
Ste C
Broadview Heights, OH 44147
Phone (440) 717-6100

8075 Town Centre Dr
Ste E
Broadview Hts, OH 44147
Phone (440) 717-6100

Interoperability endpoints

  • Direct secure messaging: mandresen37483@ehrdirect.uhhospitals.org

Organizations & group practices 1

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 2

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1295909539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 TOWN CENTRE DR STE E",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474011",
            "telephone_number": "440-717-6100",
            "fax_number": "440-546-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 TOWN CENTRE DR STE E",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474011",
            "telephone_number": "440-717-6100",
            "fax_number": "440-546-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESEN",
        "first_name": "MATTHEW",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.097756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.