Individual provider Active NPI

Matthew Pagano, D.O.

  • Family Medicine Physician
  • Kennett Square, PA
National Provider Identifier
1629464151
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS021854 Issued in PA
Practice address
404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479
Phone
(610) 925-3835
Fax
(610) 925-3834
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS021854 PA Primary

Addresses

Primary practice location

404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479

Mailing address

404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479
Phone (610) 925-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220222001713 PA Practitioner - Family Practice 0941550297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

520 Maple Ave
Suite 4
West Chester, PA 19380-4434
Phone (610) 430-8200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 25, 2022 Accepting new patients
Prospect Health Access Network, Inc. Family Medicine CurrentSince Jun 3, 2024 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Family Medicine CurrentSince Jan 25, 2022 Accepting new patients
Pentahealth, LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448

145 Brinton Lake Rd
Fl 1
Glen Mills, PA 19342
Phone (610) 459-1619

404 McFarlan Rd
Ste 101
Kennett Square, PA 19348
Phone (610) 925-3835

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

520 Maple Ave
Ste 4
West Chester, PA 19380
Phone (610) 430-8200

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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.

Hospital & facility affiliations 4

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1629464151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MCFARLAN RD STE 101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482479",
            "telephone_number": "610-925-3835",
            "fax_number": "610-925-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MCFARLAN RD STE 101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482479",
            "telephone_number": "610-925-3835",
            "fax_number": "610-925-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.