NPIMap

Individual provider Active NPI

Mathew P Samuel, MD

  • Rheumatology Physician
  • Camp Hill, PA
National Provider Identifier
1538178686
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD049288L Issued in PA
Practice address
1845 Center St
Camp Hill, PA 17011-1703
Phone
(717) 231-8989
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 30450 KY
Rheumatology Physician 207RR0500X 28637 WV
Rheumatology Physician 207RR0500X MD049288L PA Primary

Addresses

Primary practice location

1845 Center St
Camp Hill, PA 17011-1703

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8923

Other practice location 1

5170 US RT 60 East
Huntington, WV 25705
Phone (304) 528-4600

Other practice location 2

2154 Carter Ave
Suite D
Ashland, KY 41101
Phone (606) 325-9224

Other practice location 3

3 Walnut St Ste 100
Lemoyne, PA 17043-1168
Phone (717) 988-0234

Other identifiers 3

IdentifierTypeStateIssuer
000000052177OtherBLUE CROSS
0162489MedicaidOH
64304504MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address MathewSamuel@himg.directbygreenway.com
Direct Messaging Address msamuel235781@phsdirect.pinnaclehealth.org

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
I20221115001137 PA Practitioner - Rheumatology 6507991551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

3 Walnut St
100 Pinnacle Health Rheumatology Associates
Lemoyne, PA 17043-1168
Phone (717) 761-4141

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Memorial Hospital, York, PA, CCN 390101

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD049288LPAMDRheumatology Physician
28637WVMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 2, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 2, 2022 Accepting new patients
Pinnacle Health Medical Services Rheumatology Current Accepting new patients

Locations

1845 Center St
Camp Hill, PA 17011
Phone (717) 761-3505

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

3 Walnut St
Ste 100
Wormleysburg, PA 17043
Phone (717) 737-3037

Interoperability endpoints

  • Direct secure messaging: msamuel302042@upmc.direct-ci.com
  • Direct secure messaging: mathewsamuel@himg.directbygreenway.com

Organizations & group practices 3

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 11

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1538178686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-231-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CENTER ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111703",
            "telephone_number": "717-231-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5170 US RT 60 East",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "25705",
            "country_code": "US",
            "telephone_number": "304-528-4600",
            "fax_number": "304-697-0856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2154 Carter Ave",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "41101",
            "country_code": "US",
            "telephone_number": "606-325-9224",
            "fax_number": "606-325-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Walnut St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lemoyne",
            "state": "PA",
            "postal_code": "170431168",
            "country_code": "US",
            "telephone_number": "717-988-0234",
            "fax_number": "717-703-0121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "MATHEW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "30450",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WV",
            "license": "28637",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD049288L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000052177",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162489",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64304504",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MathewSamuel@himg.directbygreenway.com",
            "affiliation": "N",
            "address_1": "5170 US RT 60 East",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msamuel235781@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "3 Walnut St Ste 100",
            "city": "Lemoyne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.