Andriy Matiyash, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS18512 Issued in FL

Practice address

1801 US Highway 441 BLDG 100
Leesburg, FL 34748-2545

Phone

(352) 460-4004

Fax

(352) 460-4003

NPI assigned

Apr 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Internal Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkshire Family Practice Associates , PCGroup PAC ID 0244561710, 10 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
• Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
• Centerwell Home Health Home health agency, Pittsfield, MA, CCN 227219
• Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
• Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
• North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Berkshire Family Practice Associates , PC

  • Family Medicine Physician
  • Pittsfield, MA
  • NPI 1952963548

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Care Compare affiliation
• Berkshire Medical Center, Inc.

  • Home Health Agency
  • Pittsfield, MA
  • NPI 1205948973
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Pittsfield, MA
  • NPI 1790718427
  Care Compare affiliation
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1730112251
  Care Compare affiliation
• North Adams Regional Hospital Corporation

  • Critical Access Hospital
  • North Adams, MA
  • NPI 1437839669
  Care Compare affiliation
• Tender Loving Care Health Care Services of New England, LLC

  • Home Health Agency
  • Agawam, MA
  • NPI 1770537847
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1750745147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 US HIGHWAY 441 BLDG 100",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482545",
            "telephone_number": "352-460-4004",
            "fax_number": "352-460-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 US HIGHWAY 441 BLDG 100",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482545",
            "telephone_number": "352-460-4004",
            "fax_number": "352-460-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIYASH",
        "first_name": "ANDRIY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS18512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massage and Wellness Care
• George M Mathew, M.D.
• Jencymol Mathew, APRN, PMHNP
• Lourdes M Mathew, MD
• Melissa Matias
• Van Mai Mattison, OD
• Mackenzie Leigh Mauldin, APRN
• Jennifer Lauren Maurer, OTR/L
• Maxihealth Homecare Specialists LLC
• Maxim Healthcare Services, Inc.

• Internal Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.