Active NPI
Matthew Lee Diamond
- Foot & Ankle Surgery Podiatrist
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC007195
- Practice address
- 4800 Friendship Ave
Pittsburgh, PA 15224-1793 - Phone
- (413) 306-7667
- NPI assigned
- Sep 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC007195 | PA | Primary |
Addresses
Primary practice location
4800 Friendship Ave
Pittsburgh, PA 15224-1793
Mailing address
5202 Butler St Apt 2
Pittsburgh, PA 15201-2642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Foxfield Rd
Suite 102
St Charles, IL 60174-5799
Phone (630) 377-1188
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC007195 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Orthopedics & Sports Medicine LLC | Current | Accepting new patients | |
| Genesis Orthopedics & Sports Medicine LLC | Current | Accepting new patients |
Locations
1315 N Highland Ave
Ste 201
Aurora, IL 60506
Phone (630) 229-6708
1044 N Francisco Ave
Ste 405
Chicago, IL 60622
2641 W Harrison St
Chicago, IL 60612
Phone (708) 264-1919
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
200 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 244-5660
2425 W 22nd St
Ste 103
Oak Brook, IL 60523
Phone (630) 571-3333
2425 W 22nd St
Ste 207A
Oak Brook, IL 60523
1125 Westgate St
Oak Park, IL 60301
Phone (708) 848-0040
1 Erie Ct
Ste 7050
Oak Park, IL 60302
Phone (708) 431-7070
4709 Golf Rd
Ste 1220
Skokie, IL 60076
2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- St Charles, IL
- NPI 1346389061
-
dba Genesis Orthopedics & Sports Medicine DME
- Durable Medical Equipment & Medical Supplies
- Oak Brook, IL
- NPI 1467954016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1326654005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 BUTLER ST APT 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152012642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241793",
"telephone_number": "413-306-7667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "MATTHEW",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-18",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC007195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.