Individual provider Active NPI

Matthew Segal, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1558075036
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone
(336) 447-8587
NPI assigned
Jan 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Mailing address

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230626000579 NC Practitioner - Physician Assistant 8325406291 Reassigns benefits to 2 organizations
I20241230002029 NV Practitioner - Physician Assistant 8325406291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Reno PLLCGroup PAC ID 5991140360, 18 clinicians

Practice addresses (Care Compare)

590 Eureka Ave
Reno Diagnostic Center Eureka
Reno, NV 89512-3425
Phone (775) 323-5083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cornerstone Health Care, PA CurrentSince Jul 1, 2023 Accepting new patients
Diagnostic Radiology & Imaging LLC CurrentSince Apr 1, 2023 Accepting new patients
Smi Imaging LLC CurrentSince Dec 2, 2024 Accepting new patients
Simonmed Reno PLLC CurrentSince Dec 2, 2024 Accepting new patients
Simonmed Reno PLLC CurrentSince Dec 2, 2024 Accepting new patients
Smi Imaging, LLC CurrentSince Dec 2, 2024 Accepting new patients
Diagnostic Radiology & Imaging, LLC Past Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

4030 Oaks Professional Pkwy
Ste 101
Burlington, NC 27215

1002 N Church St
Ste 401
Greensboro, NC 27401
Phone (336) 271-4999

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

1126 N Church St
Ste 200
Greensboro, NC 27401
Phone (336) 379-0941

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

590 Eureka Ave
Reno, NV 89512
Phone (775) 323-5083

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1558075036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-447-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.