Individual provider Active NPI

Robert Allen Matlin, MD

  • Specialist
  • Lancaster, PA
National Provider Identifier
1740381722
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD017545E Issued in PA
Practice address
227 Granite Run Dr
Suite 110
Lancaster, PA 17601-6813
Phone
(717) 560-5156
Fax
(717) 560-5165
NPI assigned
Sep 25, 2006
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD017545E PA Primary

Addresses

Primary practice location

227 Granite Run Dr
Suite 110
Lancaster, PA 17601-6813

Mailing address

227 Granite Run Dr
Suite 110
Lancaster, PA 17601-6813
Phone (717) 560-5156

Other identifiers 1

IdentifierTypeStateIssuer
0007491530006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017545EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Hma Physician Management, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmatlin@direct-address.net

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1740381722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 GRANITE RUN DR",
            "address_2": "SUITE 110",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016813",
            "telephone_number": "717-560-5156",
            "fax_number": "717-560-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 GRANITE RUN DR",
            "address_2": "SUITE 110",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016813",
            "telephone_number": "717-560-5156",
            "fax_number": "717-560-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLIN",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD017545E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007491530006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.