Individual provider Active NPI

Matthew F Watto, MD

  • Internal Medicine Physician
  • Abington, PA
National Provider Identifier
1730404591
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD461140 Issued in PA
Practice address
1235 Old York Rd Ste 214
Abington, PA 19001-3841
Phone
(215) 481-4811
Fax
(215) 576-1787
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01071297A IN
Hospitalist Physician 208M00000X MD461140 PA
Internal Medicine Physician 207R00000X MD461140 PA Primary

Addresses

Primary practice location

1235 Old York Rd Ste 214
Abington, PA 19001-3841

Mailing address

2500 Maryland Rd Ste 400
Willow Grove, PA 19090-1225
Phone (215) 481-4143

Other practice location 1

800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-7817

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
I20171108000748 PA Practitioner - Internal MedicinePractitioner - Hospitalist 4183868599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lauren Rosen Wellness LLCGroup PAC ID 3870990526, 4 clinicians

Practice addresses (Care Compare)

551 W Lancaster Ave
Suite 205
Haverford, PA 19041-1419
Phone (610) 276-0098

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071297AINMDInternal Medicine Physician
MD461140PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balance-Vita PLLC Current Accepting new patients
Abington Memorial Hospital Internal Medicine CurrentSince Jul 6, 2020 Accepting new patients
Amh Medical Staff Service Fund Internal Medicine CurrentSince Jul 6, 2020 Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

1235 Old York Rd
Ste 214
Abington, PA 19001
Phone (215) 481-4811

1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

Organizations & group practices 5

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1730404591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD STE 400",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901225",
            "telephone_number": "215-481-4143",
            "fax_number": "215-481-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 OLD YORK RD STE 214",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013841",
            "telephone_number": "215-481-4811",
            "fax_number": "215-576-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191076130",
            "country_code": "US",
            "telephone_number": "215-829-7817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTO",
        "first_name": "MATTHEW",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01071297A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD461140",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD461140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.