Active NPI
Matthew Stephen Reedy, MD
- Dermatology Physician
- Medina, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35.135937
- Practice address
- 5783 Wooster Pike
Medina, OH 44256-8816 - Phone
- (330) 725-0569
- Fax
- (330) 662-0258
- NPI assigned
- Apr 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35.135937 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11018967A | IN |
Addresses
Primary practice location
5783 Wooster Pike
Medina, OH 44256-8816
Mailing address
5783 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569
Other practice location 1
5779 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569
Other practice location 2
300 Weatherstone Dr Ste 106
Wadsworth, OH 44281-7833
Phone (330) 725-0569
Other practice location 3
2865 Center Rd Ste 5
Brunswick, OH 44212-2324
Phone (330) 725-0569
Other practice location 4
128 E Milltown Rd Ste 208
Wooster, OH 44691-1276
Phone (330) 725-0569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0346074 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Northeastern Ohio University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5783 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569
Hospital & facility affiliations
- Wooster Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 1859 |
| Removal or shaving of skin growth | 306 |
| Skin biopsy | 699 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018967A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMT Dermatology Associates Inc | Dermatology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Blue Ridge Health Center Inc | Past | Accepting new patients |
Locations
2865 Center Rd
Ste 5
Brunswick, OH 44212
Phone (330) 725-0569
5779 Wooster Pike
Medina, OH 44256
Phone (330) 721-9990
5783 Wooster Pike
Medina, OH 44256
Phone (330) 725-0569
300 Weatherstone Dr
Ste 106
Wadsworth, OH 44281
Phone (330) 725-0569
128 E Milltown Rd
Ste 208
Wooster, OH 44691
Phone (330) 262-5655
Organizations & group practices 3
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.
-
- Dermatology Physician
- Medina, OH
- NPI 1457326514
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Federally Qualified Health Center (FQHC)
- Arrington, VA
- NPI 1518945187
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wooster, OH
- NPI 1437156247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604102400000",
"number": "1346635406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5783 WOOSTER PIKE",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568816",
"telephone_number": "330-725-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5783 WOOSTER PIKE",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568816",
"telephone_number": "330-725-0569",
"fax_number": "330-662-0258"
}
],
"practiceLocations": [
{
"address_1": "5779 Wooster Pike",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "OH",
"postal_code": "442568816",
"country_code": "US",
"telephone_number": "330-725-0569",
"fax_number": "330-662-0258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Weatherstone Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Wadsworth",
"state": "OH",
"postal_code": "442817833",
"country_code": "US",
"telephone_number": "330-725-0569",
"fax_number": "330-662-0258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2865 Center Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "OH",
"postal_code": "442122324",
"country_code": "US",
"telephone_number": "330-725-0569",
"fax_number": "330-662-0258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "128 E Milltown Rd Ste 208",
"address_purpose": "LOCATION",
"city": "Wooster",
"state": "OH",
"postal_code": "446911276",
"country_code": "US",
"telephone_number": "330-725-0569",
"fax_number": "330-662-0258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEDY",
"first_name": "MATTHEW",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-05",
"last_updated": "2020-10-31",
"certification_date": "2020-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35.135937",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11018967A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0346074",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.