Individual provider Active NPI

Matthew Rotondo

  • Sports Medicine (Family Medicine) Physician
  • Greensboro, NC
National Provider Identifier
1669052007
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2025-02289 Issued in NC
Practice address
5921 W Friendly Ave Ste D
Greensboro, NC 27410-3268
Phone
(336) 551-5830
NPI assigned
Apr 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2025-02289 NC Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 71329 TN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5921 W Friendly Ave Ste D
Greensboro, NC 27410-3268

Mailing address

5921 W Friendly Ave Ste D
Greensboro, NC 27410-3268

Other practice location 1

1100 E 3rd St
Chattanooga, TN 37403-2241
Phone (423) 778-2957

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.rotondo@eaglep.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20251001000781 NC Practitioner - Sports Medicine 8224433065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Tennessee, HSC, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5921 W Friendly Ave
Suite A1
Greensboro, NC 27410-3268
Phone (336) 268-3139

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71329TNMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA Sports Medicine CurrentSince Sep 15, 2025 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Sep 15, 2025 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA PastSince Jun 1, 2025 Accepting new patients
Eagle Physicians and Associates PA PastSince Jun 1, 2025 Accepting new patients

Locations

5921 W Friendly Ave
Ste D
Greensboro, NC 27410
Phone (336) 218-8490

5921 W Friendly Ave
Ste A1
Greensboro, NC 27410
Phone (336) 268-3139

Interoperability endpoints

  • Direct secure messaging: matthew.rotondo@eaglep.eclinicaldirectplus.com

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 1

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1669052007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 W FRIENDLY AVE STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 W FRIENDLY AVE STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103268",
            "telephone_number": "336-551-5830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032241",
            "country_code": "US",
            "telephone_number": "423-778-2957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTONDO",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2025-02289",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "71329",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.rotondo@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5921 W Friendly Ave Ste D",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274103268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.