NPIMap

Individual provider Active NPI

Mia Mattioli, MD

  • Internal Medicine Physician
  • Easton, PA
National Provider Identifier
1659765766
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD486569 Issued in PA
Practice address
1872 St Lukes Blvd
Easton, PA 18045-5669
Phone
(866) 785-8537
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A147465 CA
Internal Medicine Physician 207R00000X MD486569 PA Primary

Addresses

Primary practice location

1872 St Lukes Blvd
Easton, PA 18045-5669

Mailing address

1872 St Lukes Blvd
Easton, PA 18045-5669

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

Other practice location 2

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191007002992 CA Practitioner - Internal Medicine 0042567489 Reassigns benefits to 1 organization
I20240909002658 PA Practitioner - Internal Medicine 0042567489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

250 S 21St St
Easton, PA 18042-3851

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Luke'S Home Health Home health agency, Bethlehem, PA, CCN 397002
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.72
Promoting interoperability
96
Improvement activities
40
Cost
74.86

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147465CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gslpg, Inc CurrentSince Sep 1, 2024 Accepting new patients
The Huntington Medical Foundation Internal Medicine CurrentSince Jul 13, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 1, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 1, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Lukes Hospital-Anderson Campus Past Accepting new patients
St. Luke'S Hospital- Easton Campus Past Accepting new patients
St Luke'S Hospital Past Accepting new patients

Locations

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: mmattioli332508@direct-sluhn.org

Organizations & group practices 8

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 8

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1659765766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 ST LUKES BLVD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 ST LUKES BLVD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455669",
            "telephone_number": "866-785-8537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W California Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053010",
            "country_code": "US",
            "telephone_number": "626-397-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTIOLI",
        "first_name": "MIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A147465",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD486569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.