Active NPI
Marie M Matarazzo, PA-C
- Physician Assistant
- Pittsburgh, PA
National Provider Identifier
1689976888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA054378
- Practice address
- 7125 Saltsburg Rd
Pittsburgh, PA 15235-2252 - Phone
- (412) 795-1170
- Fax
- (412) 795-1154
- NPI assigned
- Nov 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054378 | PA | Primary |
Addresses
Primary practice location
7125 Saltsburg Rd
Pittsburgh, PA 15235-2252
Mailing address
7125 Saltsburg Rd
Pittsburgh, PA 15235-2252
Phone (412) 795-1170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13577211 | Other | CAQH | |
| 103273514 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmatarazzo11130@direct.ahn.org |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients |
Locations
7125 Saltsburg Rd
Pittsburgh, PA 15235
Phone (412) 795-1170
3447 Forbes Ave
Pittsburgh, PA 15213
Phone (412) 681-2600
320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901
Interoperability endpoints
- mmatarazzo11130@direct.ahn.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1861629214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1689976888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 SALTSBURG RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152352252",
"telephone_number": "412-795-1170",
"fax_number": "412-795-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 SALTSBURG RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152352252",
"telephone_number": "412-795-1170",
"fax_number": "412-795-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATARAZZO",
"first_name": "MARIE",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13577211",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103273514",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmatarazzo11130@direct.ahn.org",
"affiliation": "N",
"address_1": "7125 Saltsburg Rd",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152352252",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.