Individual provider Active NPI

Matthew David Painting, DPM

  • Podiatrist
  • Greenville, OH
National Provider Identifier
1386960870
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003537 Issued in OH
Practice address
415 West Russ Road
Greenville, OH 45331
Phone
(937) 548-1244
Fax
(937) 548-8898
NPI assigned
Apr 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003537 OH Primary

Addresses

Primary practice location

415 West Russ Road
Greenville, OH 45331

Mailing address

415 West Russ Road
Greenville, OH 45331
Phone (937) 548-1244

Other identifiers 1

IdentifierTypeStateIssuer
36003537OtherOHOHIO STATE MEDICAL LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000682 OH Practitioner - Podiatry 7810020914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Ohio Podiatric Medical Center IncGroup PAC ID 2466472402, 4 clinicians

Practice addresses (Care Compare)

415 W Russ Rd
Greenville, OH 45331-2457
Phone (937) 548-1244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as group
Quality
30.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003537OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Ohio Podiatric Medical Center Inc Podiatrist CurrentSince Jul 5, 2010 Accepting new patients
Dayton Interventional Radiology LLC PastSince Jul 5, 2010 Accepting new patients

Locations

415 W Russ Rd
Greenville, OH 45331
Phone (937) 548-1224

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/89qRxg50XNEvJ1rMzQ6E1GUFVYLjKcWl/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1386960870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WEST RUSS ROAD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "45331",
            "telephone_number": "937-548-1244",
            "fax_number": "937-548-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WEST RUSS ROAD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "45331",
            "telephone_number": "937-548-1244",
            "fax_number": "937-548-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTING",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE MEDICAL LICENSE",
            "identifier": "36003537",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.