Individual provider Active NPI

Matthew S Redclift, MD

  • Anesthesiology Physician
  • Lebanon, PA
National Provider Identifier
1720078199
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD066962L Issued in PA
Practice address
252 S 4TH St
Lebanon, PA 17042-6111
Phone
(717) 270-7500
Fax
(717) 228-1642
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD066962L PA Primary

Addresses

Primary practice location

252 S 4TH St
Lebanon, PA 17042-6111

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405

Other practice location 1

1 Rutherford Rd Ste 101
Harrisburg, PA 17109-4540
Phone (717) 545-5256

Other practice location 2

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-5118

Other identifiers 1

IdentifierTypeStateIssuer
0017985280001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mredclift16294@phsdirect.pinnaclehealth.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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115001212 PA Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Critical Care (Intensivists) 0840367736 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists), Pain Management
Education
Virginia Commonwealth University, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Pinnacle Anesthesia Services LLCGroup PAC ID 1951662980, 252 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Apr 21, 2018 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince May 7, 2022 Accepting new patients
Riverside Anesthesia Associates, LTD Anesthesiology CurrentSince Sep 29, 1998 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Apr 21, 2018 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

1 Rutherford Rd
Ste 101
Harrisburg, PA 17109
Phone (717) 545-5256

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

Interoperability endpoints

  • Direct secure messaging: mredclift300430@upmc.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1720078199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426111",
            "telephone_number": "717-270-7500",
            "fax_number": "717-228-1642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Rutherford Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094540",
            "country_code": "US",
            "telephone_number": "717-545-5256",
            "fax_number": "717-545-5259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-782-5118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDCLIFT",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD066962L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017985280001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mredclift16294@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.