Individual provider Active NPI

Matthew Christopher Mauck, M.D., PH.D.

  • Pain Medicine (Anesthesiology) Physician
  • Chapel Hill, NC
National Provider Identifier
1598082414
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2014-00006 Issued in NC
Practice address
Department of Anesthesiology
N2198 Unc Hospitals, CB#7010
Chapel Hill, NC 27599-7010
Phone
(919) 966-5136
Fax
(984) 974-4873
NPI assigned
May 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2014-00006 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 2014-00006 NC Primary

Addresses

Primary practice location

Department of Anesthesiology
N2198 Unc Hospitals, CB#7010
Chapel Hill, NC 27599-7010

Mailing address

PO Box 271647
Unc FP
Salt Lake City, UT 84127-1647

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmauck108056@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150918001272 NC Practitioner - Anesthesiology 0547577827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

1350 Raleigh Rd
Chapel Hill, NC 27517-4412
Phone (984) 974-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-00006NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Anesthesiology CurrentSince Jul 8, 2015 Accepting new patients
Chatham Hospital, Inc. CurrentSince Jul 8, 2015 Accepting new patients
Chatham Hospital Inc Current Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

6330 Quadrangle Dr
Ste 200
Chapel Hill, NC 27517
Phone (984) 974-6688

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Organizations & group practices 4

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 1

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": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1598082414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271647",
            "address_2": "UNC FP",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF ANESTHESIOLOGY",
            "address_2": "N2198 UNC HOSPITALS, CB#7010",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997010",
            "telephone_number": "919-966-5136",
            "fax_number": "984-974-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCK",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-02",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2014-00006",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2014-00006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmauck108056@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "Department Of Anesthesiology",
            "address_2": "N2198 UNC Hospitals, CB#7010",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275997010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.