Active NPI
Marie Dimattia, D.O.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS017939
- Practice address
- 833 Chestnut St Ste 701
Philadelphia, PA 19107-4409 - Phone
- (215) 955-0735
- Fax
- (215) 503-9239
- NPI assigned
- May 31, 2013
- Last updated
- Dec 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT-015385 | PA | |
| Internal Medicine Physician | 207R00000X | 3111 | WV | |
| Internal Medicine Physician | 207R00000X | OS017939 | PA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | OS017939 | PA |
Addresses
Primary practice location
833 Chestnut St Ste 701
Philadelphia, PA 19107-4409
Mailing address
833 Chestnut St Ste 701
Philadelphia, PA 19107-4409
Phone (215) 955-0735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S 11TH St
Philadelphia, PA 19107-4824
Phone (215) 955-6540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-015385 | PA | MD | Internal Medicine Physician |
| 3111 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Jefferson University Physicians | Internal Medicine | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Tower Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161
833 Chestnut St
Ste 701
Philadelphia, PA 19107
Phone (215) 955-0735
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Internal Medicine
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Anatomic Pathology & Clinical Pathology Physician
- Chester, PA
- NPI 1285081703
-
dba Pulmonary Medicine - Tower Health Medical Group
- Pulmonary Disease Physician
- West Reading, PA
- NPI 1801148424
-
dba Breast Health Center Wyomissing Tower Health Medical Group
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544659200000",
"number": "1407293467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 701",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074409",
"telephone_number": "215-955-0735",
"fax_number": "215-503-9239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 701",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074409",
"telephone_number": "215-955-0735",
"fax_number": "215-503-9239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMATTIA",
"first_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2018-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT-015385",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "3111",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS017939",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "OS017939",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.