Active NPI
Patricia Mattevi, MD
- Emergency Medicine Physician
- Oregon, OH
National Provider Identifier
1487739157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35066848
- Practice address
- 2801 Bay Park Dr
Oregon, OH 43616-4920 - Phone
- (419) 690-7900
- Fax
- (419) 866-5453
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35066848 | OH | Primary |
Addresses
Primary practice location
2801 Bay Park Dr
Oregon, OH 43616-4920
Mailing address
7707 Chestnut RDG
Maumee, OH 43537-8995
Phone (419) 868-1811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0122325 | Medicaid | OH | |
| 000000550247 | Other | OH | ANTHEM |
Other names 1
- Patriacia A Mattevi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.52 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 20
- Cost
- 71.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35066848 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayless Pathmark Inc | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| The Bellevue Hospital | Current | Accepting new patients | |
| Great Lakes Emergency Medicine Physicians, Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians of Northwest Ohio Inc. | Emergency Medicine | Past | Accepting new patients |
| Observation Physicians of Northwest Ohio LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
- Anatomic Pathology & Clinical Pathology Physician
- Bellevue, OH
- NPI 1205242641
-
- General Acute Care Hospital
- Bellevue, OH
- NPI 1134161623
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1043274418
-
- Emergency Medicine Physician
- Bellevue, OH
- NPI 1841435195
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1487739157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 CHESTNUT RDG",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435378995",
"telephone_number": "419-868-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BAY PARK DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436164920",
"telephone_number": "419-690-7900",
"fax_number": "419-866-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTEVI",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35066848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122325",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000550247",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRIACIA",
"last_name": "MATTEVI",
"middle_name": "A",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.