Individual provider Active NPI

Matthew Acton, MD

  • Student in an Organized Health Care Education/Training Program
  • Bloomington, IN
National Provider Identifier
1730649062
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2341 E Plateau PL
Bloomington, IN 47401-9502
Phone
(812) 606-2820
NPI assigned
Mar 22, 2019
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2341 E Plateau PL
Bloomington, IN 47401-9502

Mailing address

2341 E Plateau PL
Bloomington, IN 47401-9502
Phone (812) 606-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250707001332 TX Order and Referring Only - Thoracic SurgeryPractitioner - Thoracic Surgery 5294249926

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1730649062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 E PLATEAU PL",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019502",
            "telephone_number": "812-606-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 E PLATEAU PL",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019502",
            "telephone_number": "812-606-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACTON",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.