Individual provider Active NPI

Matthew J Aresery, MD

  • Allergy & Immunology Physician
  • Bradenton, FL
National Provider Identifier
1447205281
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME111116 Issued in FL
Practice address
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone
(941) 362-8640
Fax
(941) 362-8641
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME111116 FL Primary
Allergy & Immunology Physician 207K00000X 016496 ME

Addresses

Primary practice location

11505 Rangeland Pkwy
Bradenton, FL 34211-4041

Mailing address

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 362-8640

Other identifiers 2

IdentifierTypeStateIssuer
005930700MedicaidFL
14L3AOtherFLFL BC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Matthew.Aresery@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120709000437 FL Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Hospitalist 5991722449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Emergency Medicine, Hospitalist
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Radiology Services LLC CurrentSince Aug 1, 2023 Accepting new patients
Intercoastal Medical Group Inc CurrentSince Jun 3, 2013 Accepting new patients
Cape Coral Hospitalists Inc Past Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

11505 Rangeland Pkwy
Bradenton, FL 34211
Phone (941) 907-6016

11505 Rangeland Pkwy
Fl 1
Bradenton, FL 34211

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200

Interoperability endpoints

  • Direct secure messaging: matthew.aresery@img.directbygreenway.com

Organizations & group practices 4

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1447205281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 RANGELAND PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114041",
            "telephone_number": "941-362-8640",
            "fax_number": "941-362-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 RANGELAND PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114041",
            "telephone_number": "941-362-8640",
            "fax_number": "941-362-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARESERY",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME111116",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "ME",
            "license": "016496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005930700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC/BS",
            "identifier": "14L3A",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Matthew.Aresery@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11505 Rangeland Pkwy",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342114041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.