Individual provider Active NPI

Matthew John Landfried, MD

  • Orthopaedic Surgery Physician
  • Southport, NC
National Provider Identifier
1497721153
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2020-1784 Issued in NC
Practice address
1513 N Howe St
Southport, NC 28461-2769
Phone
(910) 454-8030
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 180888 NY
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 2020-1784 NC Primary

Addresses

Primary practice location

1513 N Howe St
Southport, NC 28461-2769

Mailing address

1513 N Howe St
Southport, NC 28461-2769
Phone (910) 454-8030

Other practice location 1

3584 members club blvd.
mac
Southport, NC 28461
Phone (585) 356-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100326000331 NY Practitioner - Orthopedic Surgery 4486638608 Reassigns benefits to 1 organization
I20231017000262 NC Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4486638608 Practice locations: Southport, NC

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1513 N Howe St
Suite 4
Southport, NC 28461-2770
Phone (585) 356-1526

Hospital & facility affiliations

  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-1784NCMDOrthopaedic Surgery Physician
180888NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center Single Specialty CurrentSince May 1, 2015 Accepting new patients
United Memorial Medical Center Single Specialty CurrentSince May 1, 2015 Accepting new patients
United Memorial Medical Center Single Specialty Current Accepting new patients
The Azzato Clinic, PLLC Single Specialty PastSince Oct 20, 2024 Accepting new patients
John a Azzato MD PC Single Specialty PastSince Mar 8, 2016 Accepting new patients

Locations

33 Chandler Ave
Fl 2
Batavia, NY 14020
Phone (585) 343-9676

127 North St
Batavia, NY 14020
Phone (585) 267-7510

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

33 Chandler Ave
Batavia, NY 14020
Phone (585) 343-9676

3 Handley St
Perry, NY 14530
Phone (585) 237-3227

Organizations & group practices 5

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 6

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1497721153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612769",
            "telephone_number": "910-454-8030",
            "fax_number": "910-839-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612769",
            "telephone_number": "910-454-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3584 members club blvd.",
            "address_2": "mac",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "28461",
            "country_code": "US",
            "telephone_number": "585-356-1526",
            "fax_number": "910-839-5881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDFRIED",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "180888",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2020-1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.