NPIMap

Individual provider Active NPI

Matthew Timmins Stainbrook, DO

  • Nephrology Physician
  • Du Bois, PA
National Provider Identifier
1699714030
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS009810L Issued in PA
Practice address
190 W Park Ave
Ste. 6
Du Bois, PA 15801-2277
Phone
(814) 371-7590
Fax
(814) 371-7579
NPI assigned
Jun 4, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS009810L PA Primary

Addresses

Primary practice location

190 W Park Ave
Ste. 6
Du Bois, PA 15801-2277

Mailing address

190 W Park Ave
Ste. 6
Du Bois, PA 15801-2277
Phone (814) 371-7590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000500 PA Practitioner - NephrologyPractitioner - Internal Medicine 7214967785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 W Park Ave
Suite 1
Du Bois, PA 15801-2277
Phone (814) 917-7599

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as individual
Quality
90.47
Improvement activities
40
Cost
66.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS009810LPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Du Bois Nephrology Associates, PC Nephrology CurrentSince Mar 10, 2014 Accepting new patients
Kidney Care Services of Dubois LLC PastSince Sep 12, 2007 Accepting new patients

Locations

190 W Park Ave
Ste 1
Dubois, PA 15801
Phone (814) 371-7590

190 W Park Ave
Ste 6
Dubois, PA 15801
Phone (814) 371-6172

1 Penn Ctr W
Ste 307
Pittsburgh, PA 15276

3 Penn Ctr W
Ste 127
Pittsburgh, PA 15276

Interoperability endpoints

  • Direct secure messaging: drstainbrook@dna.medentdirect.com

Organizations & group practices 2

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 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1699714030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W PARK AVE",
            "address_2": "STE. 6",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012277",
            "telephone_number": "814-371-7590",
            "fax_number": "814-371-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W PARK AVE",
            "address_2": "STE. 6",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012277",
            "telephone_number": "814-371-7590",
            "fax_number": "814-371-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINBROOK",
        "first_name": "MATTHEW",
        "middle_name": "TIMMINS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS009810L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.