Individual provider Active NPI

Matthew Richard Prince, D.O.

  • Orthopaedic Surgery Physician
  • Auburn Hills, MI
National Provider Identifier
1336378595
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101018292 Issued in MI
Practice address
3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774
Phone
(248) 377-8000
Fax
(248) 377-2929
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 5101018292 MI
Orthopaedic Surgery Physician 207X00000X 5101018292 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774

Mailing address

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774
Phone (248) 377-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena Direct

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
I20120525000512 MI Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 7719140995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy IncGroup PAC ID 5698669919, 23 clinicians
Rochester Knee and Sports Medicine PCGroup PAC ID 1355387564, 31 clinicians

Practice addresses (Care Compare)

3076 Northridge Rd
Hale, MI 48739-9277
Phone (989) 728-0242

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2776
Phone (248) 377-8000

Hospital & facility affiliations

  • Care2U Home health agency, Farmington Hills, MI, CCN 239070
  • The Care Team Home health agency, Saginaw, MI, CCN 239226
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement50
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018292MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Oakland CurrentSince Oct 1, 2015 Accepting new patients
McLaren Oakland CurrentSince Oct 1, 2015 Accepting new patients
Rochester Knee & Sports Medicine, PC Orthopaedic Surgery CurrentSince Aug 10, 2015 Accepting new patients
Rochester Knee & Sports Medicine PC CurrentSince Aug 10, 2015 Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

3100 Cross Creek Pkwy
Ste 200
Auburn Hills, MI 48326
Phone (248) 377-8000

3100 Cross Creek Pkwy
Ste 160
Auburn Hills, MI 48326
Phone (248) 364-4064

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

Interoperability endpoints

  • Direct secure messaging: mprince1145086@direct.hfhs.org
  • Direct secure messaging: matthew.prince.1@16694.direct.athenahealth.com

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 5

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1336378595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-8000",
            "fax_number": "248-377-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-8000",
            "fax_number": "248-377-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "MATTHEW",
        "middle_name": "RICHARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "5101018292",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101018292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3100 Cross Creek Pkwy",
            "address_2": "Suite 200",
            "city": "Auburn Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483262774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.