NPIMap

Individual provider Active NPI

Firdausi Matawalle, MD

  • Internal Medicine Physician
  • Enola, PA
National Provider Identifier
1568086932
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD481284 Issued in PA
Practice address
1824 Good Hope Rd
Enola, PA 17025-1233
Phone
(717) 732-8877
Fax
(717) 732-9241
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD481284 PA Primary

Addresses

Primary practice location

1824 Good Hope Rd
Enola, PA 17025-1233

Mailing address

1824 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 732-8877

Other practice location 1

205 S Front Street, Suite 3C UPMC Pinnacle Hospital,
Harrisburg, PA 17104
Phone (717) 231-8506

Other practice location 2

2808 Old Post Rd Ste 104
Harrisburg, PA 17110-3685
Phone (717) 545-4786

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fmatawalle174196@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
I20230621001375 PA Practitioner - Internal Medicine 1759749989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Pinnacle Health Hospitalist Services LLCGroup PAC ID 9739313545, 180 clinicians

Practice addresses (Care Compare)

1824 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 732-8877

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 657-7332

Hospital & facility affiliations

  • Accentcare Home Health of Central Pennsylvania Home health agency, Elizabethtown, PA, CCN 398062
  • Upmc Home Healthcare of Central Pennsylvania Home health agency, Altoona, PA, CCN 397087
  • 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

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
88.49
Promoting interoperability
100
Improvement activities
40
Cost
72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Nov 27, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2023 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

1824 Good Hope Rd
Enola, PA 17025
Phone (717) 732-8877

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

205 S Front St
Ste 3C
Harrisburg, PA 17104
Phone (717) 231-8506

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

2808 Old Post Rd
Ste 104
Harrisburg, PA 17110
Phone (717) 545-4786

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

Interoperability endpoints

  • Direct secure messaging: fmatawalle295698@upmc.direct-ci.com

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1568086932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-732-8877",
            "fax_number": "717-732-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-732-8877",
            "fax_number": "717-732-9241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Front Street, Suite 3C UPMC Pinnacle Hospital,",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "17104",
            "country_code": "US",
            "telephone_number": "717-231-8506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2808 Old Post Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171103685",
            "country_code": "US",
            "telephone_number": "717-545-4786",
            "fax_number": "717-545-6359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATAWALLE",
        "first_name": "FIRDAUSI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD481284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fmatawalle174196@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "205 S Front Street, Suite 3C UPMC Pinnacle Hospital,",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

Verify at the official NPI Registry.