Individual provider Active NPI

Matthew Trzesniowski, D.O.

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1487933503
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS016628 Issued in PA
Practice address
2716 E Allegheny Ave
Philadelphia, PA 19134-5916
Phone
(215) 426-3610
NPI assigned
Aug 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS016628 PA Primary

Addresses

Primary practice location

2716 E Allegheny Ave
Philadelphia, PA 19134-5916

Mailing address

2716 E Allegheny Ave
Philadelphia, PA 19134-5916
Phone (215) 426-3610

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
I20140319000000 PA Practitioner - General PracticePractitioner - Family Practice 1557592409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr John Trzesniowski LLCGroup PAC ID 4880811918, 3 clinicians

Practice addresses (Care Compare)

2716 E Allegheny Ave
Phila, PA 19134-5916
Phone (215) 426-3610

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Jefferson Health at Home by Bayada Home health agency, Philadelphia, PA, CCN 397643

Merit-based Incentive Payment System (MIPS)

Final score
37.8 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
89.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. John Trzesniowski LLC General Practice CurrentSince Jun 1, 2014 Accepting new patients

Locations

2716 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 426-3610

Interoperability endpoints

  • Direct secure messaging: matthew.trzesniowski@djtl-pa.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1487933503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191345916",
            "telephone_number": "215-426-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191345916",
            "telephone_number": "215-426-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZESNIOWSKI",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-07",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS016628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.