Active NPI
Virginia Mateo Factor, D.O.
- Family Medicine Physician
- Kent, OH
National Provider Identifier
1376841635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.010852
- Practice address
- 401 Devon Place
Suite 215
Kent, OH 44240-6483 - Phone
- (330) 673-9501
- Fax
- (330) 673-8204
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.010852 | OH | Primary |
Addresses
Primary practice location
401 Devon Place
Suite 215
Kent, OH 44240-6483
Mailing address
401 Devon Place
Suite 215
Kent, OH 44240-6483
Phone (330) 673-9501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108844 | Medicaid | OH |
Other names 1
- Virginia Mateo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | virginiafactor@uhps.allscriptsdirect.net | Health Information Exchange (HIE) |
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
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
158 W Main Rd
Conneaut, OH 44030-2039
Hospital & facility affiliations
- University Hospitals Portage Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Family Medicine | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices | Past | Accepting new patients | |
| University Hospitals Medical Group Inc | Past | Accepting new patients |
Locations
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
Interoperability endpoints
- vfactor36968@ehrdirect.uhhospitals.org
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.
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
Family Medicine
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ravenna, OH
- NPI 1043641897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1376841635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 DEVON PLACE",
"address_2": "SUITE 215",
"city": "KENT",
"state": "OH",
"postal_code": "442406483",
"telephone_number": "330-673-9501",
"fax_number": "330-673-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 DEVON PLACE",
"address_2": "SUITE 215",
"city": "KENT",
"state": "OH",
"postal_code": "442406483",
"telephone_number": "330-673-9501",
"fax_number": "330-673-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACTOR",
"first_name": "VIRGINIA",
"middle_name": "MATEO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.010852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108844",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "virginiafactor@uhps.allscriptsdirect.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "401 Devon Place",
"address_2": "Suite 215",
"city": "Kent",
"state": "OH",
"country_code": "US",
"postal_code": "442406483",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "MATEO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.