Individual provider Active NPI

Matthew Lee Oswalt, M.D.

  • Allergy & Immunology Physician
  • Tupelo, MS
National Provider Identifier
1679784599
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
18939 Issued in MS
Practice address
811 Garfield St
Tupelo, MS 38801-5748
Phone
(662) 620-0688
Fax
(601) 620-0684
NPI assigned
May 24, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 18939 MS Primary

Addresses

Primary practice location

811 Garfield St
Tupelo, MS 38801-5748

Mailing address

811 Garfield St
Tupelo, MS 38801-5748
Phone (662) 620-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20080828000445 MS Practitioner - Allergy/Immunology 0446281158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1512 Medical Park Cir
Tupelo, MS 38801-6560
Phone (662) 620-0688

501 Hospital Rd
Starkville, MS 39759-2158
Phone (662) 324-0688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
14.11 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
47.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Allergy and Asthma Center PLLC CurrentSince Aug 1, 2008 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Allergy and Asthma Center PLLC Allergy & Immunology Current Accepting new patients
North Mississippi Allergy and Asthma Center PLLC CurrentSince Aug 1, 2008 Accepting new patients

Locations

118 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0898

103 Doctors Park
Starkville, MS 39759
Phone (601) 323-2515

501 Hospital Rd
Starkville, MS 39759
Phone (662) 323-3162

1512 Medical Park Cir
Tupelo, MS 38801
Phone (662) 620-0688

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

811 Garfield St
Tupelo, MS 38801
Phone (662) 350-3106

Interoperability endpoints

  • Direct secure messaging: matthewoswalt@nmhs.medalliesdirect.net

Organizations & group practices 4

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.

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1679784599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 GARFIELD ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015748",
            "telephone_number": "662-620-0688",
            "fax_number": "601-620-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 GARFIELD ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015748",
            "telephone_number": "662-620-0688",
            "fax_number": "601-620-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALT",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MS",
            "license": "18939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.