Individual provider Active NPI

Timothy Joseph Matway, M.D.

  • Interventional Pain Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1306133434
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4301099425 Issued in MI
Practice address
359 Enterprise CT
Bloomfield Hills, MI 48302-1055
Phone
(248) 751-7246
Fax
(248) 418-2311
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301099425 MI
Interventional Pain Medicine Physician 208VP0014X 4301099425 MI Primary

Addresses

Primary practice location

359 Enterprise CT
Bloomfield Hills, MI 48302-1055

Mailing address

359 Enterprise CT
Bloomfield Hills, MI 48302-1055
Phone (248) 751-7246

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
I20151013000385 MI Practitioner - Anesthesiology 0648589705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuro Pain Consultants PCGroup PAC ID 1052204062, 20 clinicians

Practice addresses (Care Compare)

799 Denison CT
1St
Bloomfield Hills, MI 48302-0053
Phone (248) 751-7246

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score
81.44 of 100Reported as individual
Quality
52.22
Promoting interoperability
93
Improvement activities
40
Cost
85.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301099425MIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Pain Consultants PC CurrentSince Jun 15, 2016 Accepting new patients
Northstar Anesthesia of Michigan PLLC Anesthesiology CurrentSince Sep 12, 2015 Accepting new patients
American Surgical Centers II L L C Anesthesiology CurrentSince Dec 6, 2024 Accepting new patients
Neuro Pain Consultants PC Anesthesiology Past Accepting new patients
Bloomfield Hills Surgery Center PastSince Aug 1, 2023 Accepting new patients

Locations

2370 Momentum Pl
Chicago, IL 60689

799 Denison Ct
Fl First
Bloomfield Hills, MI 48302

359 Enterprise Ct
Bloomfld Hls, MI 48302
Phone (248) 220-7505

799 Denison Ct
Fl 2
Bloomfld Hls, MI 48302
Phone (248) 630-4333

5701 Bow Pointe Dr
Ste 305
Clarkston, MI 48346
Phone (248) 451-1466

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044

50505 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 323-4700

13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900

Interoperability endpoints

  • Direct secure messaging: timothy.matway.1@15471.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15471/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 7

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1306133434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 ENTERPRISE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021055",
            "telephone_number": "248-751-7246",
            "fax_number": "248-418-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 ENTERPRISE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021055",
            "telephone_number": "248-751-7246",
            "fax_number": "248-418-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATWAY",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301099425",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301099425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.