NPIMap

Individual provider Active NPI

Matthew Shore, D.O.

  • Family Medicine Physician
  • Elkins Park, PA
National Provider Identifier
1497803514
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007633L Issued in PA
Practice address
8380 Old York Rd Ste 100
Elkins Park, PA 19027-1574
Phone
(215) 517-5000
Fax
(215) 517-5829
NPI assigned
Jan 8, 2007
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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 OS007633L PA Primary

Addresses

Primary practice location

8380 Old York Rd Ste 100
Elkins Park, PA 19027-1574

Mailing address

PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 926-9010

Other identifiers 3

IdentifierTypeStateIssuer
597586OtherPATPI MEDICARE GROUP
CD4829OtherPATPI RR MEDICARE
100727800OtherPATPI MEDICAID GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080812000526 PA Practitioner - Family Practice 6103991039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

314 Old York Rd
Jenkintown, PA 19046-3211
Phone (215) 884-7620

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007633LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc. Family Medicine CurrentSince Sep 24, 2012 Accepting new patients
Temple Physician Inc. CurrentSince Sep 24, 2012 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc. Family Medicine Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients
Matthewjshoredopc Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients
Temple Physicians Inc. Family Medicine Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients

Locations

8380 Old York Rd
Ste 100
Elkins Park, PA 19027
Phone (215) 517-5000

8380 Old York Rd
Ste 100A
Elkins Park, PA 19027
Phone (215) 517-5000

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

314 York Rd
Jenkintown, PA 19046
Phone (215) 884-7620

Organizations & group practices 12

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 12

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1497803514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820933",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-926-9010",
            "fax_number": "215-226-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 OLD YORK RD STE 100",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271574",
            "telephone_number": "215-517-5000",
            "fax_number": "215-517-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007633L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI RR MEDICARE",
            "identifier": "CD4829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICAID GROUP",
            "identifier": "100727800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.