Individual provider Active NPI

Matthew Lee Diamond

  • Foot & Ankle Surgery Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1326654005
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007195 Issued in PA
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

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725001045 IL Practitioner - Podiatry 8224574322 Reassigns benefits to 1 organization

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
Genesis Orthopedics and Sports Medicine LLCGroup PAC ID 7618955808, 24 clinicians

Practice addresses (Care Compare)

2900 Foxfield Rd
Suite 102
St Charles, IL 60174-5799
Phone (630) 377-1188

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007195PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Jul 1, 2024 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Jul 1, 2024 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.

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

Verify at the official NPI Registry.