Individual provider Active NPI

Matthew Lee Zajdel, MD

  • Family Medicine Physician
  • Johnstown, PA
National Provider Identifier
1447547195
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD452730 Issued in PA
Practice address
100 Susan Dr
Johnstown, PA 15905-2826
Phone
(814) 255-1963
Fax
(814) 255-1928
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD452730 PA Primary

Addresses

Primary practice location

100 Susan Dr
Johnstown, PA 15905-2826

Mailing address

100 Susan Dr
Johnstown, PA 15905-2826
Phone (814) 255-1963

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141201000765 PA Practitioner - Family Practice 5092947424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare MedicalGroup PAC ID 7315118536, 7 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

100 Susan Dr
Johnstown, PA 15905-2826
Phone (814) 255-1963

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.29 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Medical CurrentSince Sep 15, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

701 Valley View Blvd
Altoona, PA 16602
Phone (814) 799-0866

48 Short Dr
Blairsville, PA 15717
Phone (724) 235-7793

1333 Plank Rd
Ste A
Duncansville, PA 16635
Phone (814) 693-5080

167 Zeman Dr
Ebensburg, PA 15931
Phone (814) 472-9119

100 Susan Dr
Johnstown, PA 15905
Phone (814) 255-1963

100 Susan Dr
#I
Johnstown, PA 15905

411 Theatre Dr
Johnstown, PA 15904
Phone (814) 266-3934

4905 William Penn Hwy
Monroeville, PA 15146
Phone (724) 327-5665

Organizations & group practices 3

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 2

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1447547195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUSAN DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052826",
            "telephone_number": "814-255-1963",
            "fax_number": "814-255-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUSAN DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052826",
            "telephone_number": "814-255-1963",
            "fax_number": "814-255-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJDEL",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD452730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.