Individual provider Active NPI

Matthias Heinz Wiederholz, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Houston, TX
National Provider Identifier
1336327279
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MA08436100 Issued in NJ
Practice address
4126 Southwest Fwy Ste 1700
Houston, TX 77027-7317
Phone
(346) 308-6741
Fax
(346) 571-2189
NPI assigned
Feb 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MA08436100 NJ Primary
Physical Medicine & Rehabilitation Physician 208100000X M2869 TX
Physical Medicine & Rehabilitation Physician 208100000X 059349 GA

Addresses

Primary practice location

4126 Southwest Fwy Ste 1700
Houston, TX 77027-7317

Mailing address

PO Box 649842
Dallas, TX 75264-9842
Phone (609) 817-0052

Other practice location 1

3705 Quakerbridge Rd Ste 206
Hamilton, NJ 08619-1288
Phone (609) 588-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081031000350 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 6305905639 Reassigns benefits to 1 organization
I20160706002153 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 6305905639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3705 Quakerbridge Rd
Suite 206
Hamilton, NJ 08619-1288
Phone (609) 588-8600

4056 Quakerbridge Rd
Suite 112
Lawrenceville, NJ 08648-4779
Phone (609) 817-0052

4126 SW Fwy 1700
Houston, TX 77027-7317
Phone (346) 217-1111

74 Brick Blvd
Suite 121
Brick, NJ 08723-7984
Phone (732) 262-0700

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Improvement activities
40
Cost
62.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059349GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Spine & Sports Medicine CurrentSince Apr 22, 2009 Accepting new patients
Performance Spine & Sports Medicine CurrentSince Jan 29, 2018 Accepting new patients
Performance Pain and Sports Medicine, PLLC Physical Medicine & Rehabilitation CurrentSince Jun 1, 2016 Accepting new patients
Rhyber Enterprises Incorporated Current Accepting new patients
Performance Pain and Sports Medicine, PLLC CurrentSince Jun 1, 2016 Accepting new patients
Northeast Sports Medicine Group, PC Physical Medicine & Rehabilitation PastSince Sep 13, 2004 Accepting new patients
Advanced Spine Care and Physical Rehabilitation,LLC Past Accepting new patients

Locations

74 Brick Blvd
#121
Brick, NJ 08723
Phone (732) 262-0700

4056 Quakerbridge Rd
Ste 111
Lawrenceville, NJ 08648
Phone (609) 588-8600

4056 Quakerbridge Rd
Ste 112
Lawrenceville, NJ 08648
Phone (609) 588-8600

3705 Quakerbridge Rd
Ste 206
Mercerville, NJ 08619
Phone (609) 588-8600

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

136 Main St
Ste 100
Princeton, NJ 08540
Phone (609) 799-1130

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

4126 Southwest Fwy
Ste 1700
Houston, TX 77027
Phone (346) 217-1111

2121 Williams Trace Blvd
Ste 200
Sugar Land, TX 77478
Phone (281) 404-3280

Interoperability endpoints

  • Direct secure messaging: matthias.wiederholz.1@13131.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3655/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1336327279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649842",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649842",
            "telephone_number": "609-817-0052",
            "fax_number": "609-588-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277317",
            "telephone_number": "346-308-6741",
            "fax_number": "346-571-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 Quakerbridge Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086191288",
            "country_code": "US",
            "telephone_number": "609-588-8600",
            "fax_number": "609-588-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDERHOLZ",
        "first_name": "MATTHIAS",
        "middle_name": "HEINZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-02",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA08436100",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M2869",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "059349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.