Active NPI
Matthew D Deibel, MD
- Emergency Medicine Physician
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301080308
- Practice address
- 900 Cooper
Saginaw, MI 48602 - Phone
- (989) 583-6122
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36043 | IA | |
| Emergency Medicine Physician | 207P00000X | 4301080308 | MI | Primary |
Addresses
Primary practice location
900 Cooper
Saginaw, MI 48602
Mailing address
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-6122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4855539 | Medicaid | MI | |
| 459131 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdeibelmd1543@direct.covenanthealthcare.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041012000385 | MI | Practitioner - Emergency Medicine | 9638139090 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Cooper Ave
Saginaw, MI 48602-5182
Phone (989) 583-6521
Hospital & facility affiliations
- Covenant Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Emergency Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| Deckerville Community Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| Deckerville Community Hospital, Inc | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current | Accepting new patients | |
| Linn County Emergency Medicine PC | Emergency Medicine | Past | Accepting new patients |
Locations
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122
Interoperability endpoints
- mdeibelmd1543@direct.covenanthealthcare.com
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Covenant at Home | Home health agency | Corporate Director | Mar 1, 2024 |
| Covenant at Home | Hospice | Corporate Director | Mar 1, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Saginaw, MI
- NPI 1073595245
Corporate Director
-
- Community Based Hospice Care Agency
- Saginaw, MI
- NPI 1851477699
Corporate Director
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
Emergency Medicine, MI
-
- Family Medicine Physician
- Deckerville, MI
- NPI 1164540555
Emergency Medicine, MI
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- Clinic/Center
- Port Sanilac, MI
- NPI 1013799469
-
- Critical Access Hospital
- Cass City, MI
- NPI 1154367001
-
- Emergency Medicine Physician
- Cedar Rapids, IA
- NPI 1679521124
Emergency Medicine
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": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1427019652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 N HARRISON ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486024727",
"telephone_number": "989-583-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COOPER",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48602",
"telephone_number": "989-583-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIBEL",
"first_name": "MATTHEW",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "36043",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301080308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4855539",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "459131",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdeibelmd1543@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "900 Cooper",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "48602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.