Individual provider Active NPI

Matthew Frederick Feller, MD PA

  • Internal Medicine Physician
  • Gloversville, NY
National Provider Identifier
1659323970
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13510 Issued in ND
Practice address
99 E State St
Gloversville, NY 12078-1203
Phone
(518) 773-5780
Fax
(201) 648-2513
NPI assigned
May 16, 2006
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13510 ND Primary
Internal Medicine Physician 207R00000X 25MA04251900 NJ
Internal Medicine Physician 207R00000X MA042519 NJ
Emergency Medicine Physician 207P00000X 42675 OK
Internal Medicine Physician 207R00000X 1497351 NY

Addresses

Primary practice location

99 E State St
Gloversville, NY 12078-1203

Mailing address

300 Gorge Rd Apt 48
Cliffside Park, NJ 07010-2768
Phone (201) 724-3362

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions
Direct Messaging Address mfeller464511@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ND2 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
I20080611000288 NY Practitioner - Internal Medicine 2567532930 Reassigns benefits to 2 organizations
I20150120002056 ND Practitioner - Internal MedicinePractitioner - Family Practice 2567532930 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gloversville Emergency Medicine Services PCGroup PAC ID 7517107881, 15 clinicians

Practice addresses (Care Compare)

3045 E Ave
Central Square, NY 13036-2611
Phone (315) 668-5240

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42675OKMDEmergency Medicine Physician
MA042519NJMDInternal Medicine Physician
1497351NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tioga Medical Center Current Accepting new patients
Trinity Health CurrentSince Oct 19, 2023 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Dec 21, 2024 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Dec 21, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Southwest Healthcare Services Current Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Combs Mountain Emergency Group, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Trinity Health CurrentSince Oct 19, 2023 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince May 2, 2025 Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Jul 17, 2023 Accepting new patients
Fep of Kentucky LLC Emergency Medicine CurrentSince May 20, 2024 Accepting new patients
Catskill Regional Medical Center Internal Medicine Past Accepting new patients
Cavalier County Memorial Hospital Association Past Accepting new patients

Locations

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

625 James Trimble Blvd
Paintsville, KY 41240

1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255

802 2nd St NW
Bowman, ND 58623
Phone (701) 523-3214

802 2nd St NW
Ste 1
Bowman, ND 58623
Phone (701) 523-5555

901 2nd St
Langdon, ND 58249
Phone (701) 256-6100

909 2nd St
Langdon, ND 58249
Phone (701) 256-6100

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

800 S Main Ave
Rugby, ND 58368
Phone (701) 776-5261

301 5th St
Walhalla, ND 58282
Phone (701) 549-2711

3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

Interoperability endpoints

  • Direct secure messaging: mfeller464511@direct.stfranciscare.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1659323970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GORGE RD APT 48",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102768",
            "telephone_number": "201-724-3362",
            "fax_number": "201-648-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5780",
            "fax_number": "201-648-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "MATTHEW",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "13510",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04251900",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA042519",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "42675",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1497351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfeller464511@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "345 N Main St",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061172515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.