Individual provider Active NPI

Matthew Dennis McDonald, D.O

  • Surgery Physician
  • Troy, NY
National Provider Identifier
1619167640
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2383581 Issued in NY
Practice address
720 Hoosick Road
Bariatric and Metabolic Care
Troy, NY 12180
Phone
(518) 687-9779
NPI assigned
Jul 26, 2007
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2383581 NY Primary

Addresses

Primary practice location

720 Hoosick Road
Bariatric and Metabolic Care
Troy, NY 12180

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-1800

Other practice location 2

750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-1800

Other practice location 3

319 So Manning Blvd Suite 307
St. Peter's Bariatric Care
Albany, NY 12208
Phone (518) 525-5208

Other identifiers 1

IdentifierTypeStateIssuer
03175660MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentailing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101013000104 NY Practitioner - General Surgery 7315139045 Reassigns benefits to 4 organizations
I20220216002294 VT Practitioner - General Surgery 7315139045 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Vermont Medical Center, IncGroup PAC ID 0143138446, shared by 3 NPIs, 174 clinicians
Twin Rivers Medical PCGroup PAC ID 6406123405, 17 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361

140 Hospital Dr
Suite 205
Bennington, VT 05201-5015
Phone (802) 447-5060

7 Southwoods Blvd
Suite 2
Albany, NY 12211-2526
Phone (518) 641-6580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2383581NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Medical PC Surgery CurrentSince Mar 5, 2025 Accepting new patients
Southwestern Vermont Medical Center Inc. Surgery Current Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Jun 26, 2024 Accepting new patients
University Surgical Associates, LLP Surgery CurrentSince Aug 13, 2012 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Mar 2, 2024 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Mar 2, 2024 Accepting new patients
Twin Rivers Medical PC CurrentSince Mar 5, 2025 Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Jan 1, 2025 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Empire Bariatrics PLLC Surgery Current Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients
Burdett Orthopedics, PC PastSince Mar 1, 2010 Accepting new patients

Locations

319 S Manning Blvd
Ste 307
Albany, NY 12208
Phone (518) 525-5208

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

7 Southwoods Blvd
Fl 2
Albany, NY 12211
Phone (518) 641-6580

16 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-5002

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

725 Irving Ave
Ste 401
Syracuse, NY 13210
Phone (315) 464-2878

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2 New Hampshire Ave
Ste 200
Troy, NY 12180
Phone (518) 274-1947

720 Hoosick Rd
Troy, NY 12180
Phone (518) 272-7191

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

140 Hospital Dr
Ste 205
Bennington, VT 05201
Phone (802) 447-2677

2 Blackberry Ln
Woodford, VT 05201
Phone (518) 686-5770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3744/brand/4/csg/23/fhir/r4
  • Direct secure messaging: matthew.mcdonald.1@3744.direct.athenahealth.com
  • Direct secure messaging: mmcdonald19473@albanymed.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1619167640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOOSICK ROAD",
            "address_2": "BARIATRIC AND METABOLIC CARE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-687-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102342",
            "country_code": "US",
            "telephone_number": "315-464-1800",
            "fax_number": "315-464-0247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102342",
            "country_code": "US",
            "telephone_number": "315-464-1800",
            "fax_number": "315-464-0247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 So Manning Blvd Suite 307",
            "address_2": "St. Peter's Bariatric Care",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12208",
            "country_code": "US",
            "telephone_number": "518-525-5208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MATTHEW",
        "middle_name": "DENNIS",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "2383581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03175660",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentailing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPH Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "319 So Manning Blvd Suite 307",
            "address_2": "St. Peter's Bariatric Care",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.