Individual provider Active NPI

Matthew James Zirwas, MD

  • Dermatology Physician
  • Bexley, OH
National Provider Identifier
1699741876
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.088071 Issued in OH
Practice address
2359 E Main St
Bexley, OH 43209-2421
Phone
(614) 947-1716
Fax
(614) 652-3048
NPI assigned
Feb 27, 2006
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.088071 OH Primary

Addresses

Primary practice location

2359 E Main St
Bexley, OH 43209-2421

Mailing address

2359 E Main St
Bexley, OH 43209-2421
Phone (614) 947-1716

Other identifiers 1

IdentifierTypeStateIssuer
00000933474OtherOHANTHEM BLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060802000004 OH Practitioner - Dermatology 6406835909 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.088071OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. Dermatology CurrentSince Jul 6, 2015 Accepting new patients
Senior Healthservices Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

2359 E Main St
Bexley, OH 43209
Phone (614) 947-1716

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

5300 Far Hills Ave
Ste 300
Kettering, OH 45429
Phone (937) 433-7536

1010 Refugee Rd
Ste 299
Pickerington, OH 43147
Phone (614) 788-4600

Interoperability endpoints

  • Direct secure messaging: matthew.zirwas.1@17598.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1699741876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 E MAIN ST",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092421",
            "telephone_number": "614-947-1716",
            "fax_number": "614-652-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 E MAIN ST",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092421",
            "telephone_number": "614-947-1716",
            "fax_number": "614-652-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRWAS",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.088071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE SHIELD",
            "identifier": "00000933474",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bexley, OH

Sources for this page

Verify at the official NPI Registry.