Marie Elizabeth Mateo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301082659 Issued in MI

Practice address

500 Kirts Blvd Ste 200
Troy, MI 48084

Phone

(248) 824-6060

Fax

(248) 686-0772

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• M. E. Mateo, MD, PLLC

  dba Vital Care Home

  • Family Medicine Physician
  • Royal Oak, MI
  • NPI 1114731924
  Medicare reassignment NPD Authorized official
• Iah of Michigan, PLLC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Troy, MI
  • NPI 1578969705
  Medicare reassignment NPD
• Matthew D Andrews DPM PC

  dba Atlas Foot, Ankle and Wound Care

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
  • NPI 1992363097
  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Nursing Practice Corporation

  dba Campus Health Center

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1023180106
  NPD
• Nursing Practice Corporation

  dba Taylor Street Primary Care Clinic

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1629616511
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Brookdale Family Care Center, Inc.

  dba BFCC Flatbush

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1962459644

  Family Medicine

  NPD (past)
• JHMC Diagnostic and Treatment Center

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1821045485
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1558327023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 RANDALL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854854",
            "telephone_number": "917-373-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-824-6060",
            "fax_number": "248-686-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "MARIE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222940",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02351068",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Andrew Masse
• Tia Oriel Massie
• Nicole Massoud, MSW
• Master Homecare, Inc.
• Ancuta E Matei, MD
• Erica Matero
• Jaya Mary Mathai
• Binu Mathew Jacob
• Minu Mathew Puthuppally, FNP-C
• Mathews Medical Center PLLC

• Family Medicine Physician in Troy, MI
• Providers in Troy, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.