Individual provider Active NPI

Marie M Matarazzo, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1689976888
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054378 Issued in PA
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

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13577211OtherCAQH
103273514MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825001796 PA Practitioner - Physician Assistant 1355569831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Apr 1, 2016 Accepting new patients
Allegheny Clinic CurrentSince Apr 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.