NPIMap

Individual provider Active NPI

Matthew Leonard Cadwallader, PA-C

  • Medical Physician Assistant
  • Flourtown, PA
National Provider Identifier
1457364705
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002594L Issued in PA
Practice address
1401 Bethlehem Pike
Flourtown, PA 19031-1904
Phone
(215) 233-1001
Fax
(215) 233-9749
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002594L PA Primary

Addresses

Primary practice location

1401 Bethlehem Pike
Flourtown, PA 19031-1904

Mailing address

424 W Price St
Philadelphia, PA 19144-4406
Phone (215) 713-9595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528001230 VT Practitioner - Physician Assistant 4486836434 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

1 Elm St
Ludlow, VT 05149-1301
Phone (802) 228-8867

1 Hospital CT
Bellows Falls, VT 05101-1489
Phone (802) 463-9000

173 S Main St
Rutland, VT 05701-4713
Phone (603) 526-4635

798 US Route 302
Unit 2
Barre, VT 05641-2305
Phone (603) 526-4635

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Medical Care Systems Inc CurrentSince May 5, 2024 Accepting new patients
Windsor Hospital Corporation CurrentSince Jun 3, 2024 Accepting new patients
Springfield Medical Care Systems Inc. CurrentSince May 5, 2024 Accepting new patients
Windsor Hospital Corporation CurrentSince Jun 3, 2024 Accepting new patients
Clearchoicemd, PLLC CurrentSince Sep 15, 2025 Accepting new patients
Windsor Hospital Corporation Current Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
Abington Emergency Physician Associates PC Past Accepting new patients

Locations

798 US Route 302
#2
Barre, VT 05641
Phone (802) 744-0138

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

100 River St
Springfield, VT 05156
Phone (802) 886-8900

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.cadwallader.1@24182.direct.athenahealth.com
  • Direct secure messaging: mcadwallader622833@direct.dartmouth-hitchcock.org

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.

Hospital & facility affiliations 4

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457364705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W PRICE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444406",
            "telephone_number": "215-713-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311904",
            "telephone_number": "215-233-1001",
            "fax_number": "215-233-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADWALLADER",
        "first_name": "MATTHEW",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002594L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

Verify at the official NPI Registry.