Individual provider Active NPI

Maia Matyas, P.A.

  • Physician Assistant
  • Cuyahoga Falls, OH
National Provider Identifier
1609451988
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006914RX Issued in OH
Practice address
265 West Portage Trail
Ste. 200
Cuyahoga Falls, OH 44223-3613
Phone
(234) 274-7546
Fax
(330) 680-6851
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 50.006914RX OH Primary

Addresses

Primary practice location

265 West Portage Trail
Ste. 200
Cuyahoga Falls, OH 44223-3613

Mailing address

2000 Auburn Dr.
Ste. 350
Beachwood, OH 44122-4327
Phone (440) 646-1600

Other identifiers 1

IdentifierTypeStateIssuer
0486774MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmatyas@direct.swgeneral.com Southwest General Medical Group Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210407002218 OH Practitioner - Physician Assistant 3375950413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

265 W Portage Trail
Suite 200
Cuyahoga Falls, OH 44223-3613
Phone (234) 274-7546

7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.006914RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc CurrentSince Jun 2, 2022 Accepting new patients
Southwest General Medical Group, Inc CurrentSince Jun 2, 2022 Accepting new patients
Gary R Kutsikovich MD and Associates Inc Past Accepting new patients
Southwest General Medical Group Inc PastSince May 22, 2022 Accepting new patients
SCH Professional Corporation Past Accepting new patients

Locations

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

10139 Royalton Rd
Ste H
North Royalton, OH 44133
Phone (440) 816-2878

Organizations & group practices 6

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1609451988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR.",
            "address_2": "STE. 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224327",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WEST PORTAGE TRAIL",
            "address_2": "STE. 200",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233613",
            "telephone_number": "234-274-7546",
            "fax_number": "330-680-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYAS",
        "first_name": "MAIA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006914RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486774",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmatyas@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group Inc",
            "address_1": "10139 Royalton Rd Ste H",
            "city": "North Royalton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441334473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.