Individual provider Active NPI

Alejandro Matos Wells, MD

  • Infectious Disease Physician
  • Erie, PA
National Provider Identifier
1760977565
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD483221 Issued in PA
Practice address
2314 Sassafras St
2ND Floor
Erie, PA 16502-2721
Phone
(814) 456-6194
Fax
(814) 452-5777
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD483221 PA Primary

Addresses

Primary practice location

2314 Sassafras St
2ND Floor
Erie, PA 16502-2721

Mailing address

2314 Sassafras St
2ND Floor
Erie, PA 16502-2721
Phone (814) 456-6194

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
I20240813004087 PA Practitioner - Internal Medicine 1052859717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2314 Sassafras St
FL 2
Erie, PA 16502-2722
Phone (814) 456-6194

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD483221PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases PastSince Aug 1, 2024 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

Interoperability endpoints

  • Direct secure messaging: amatoswells918809@direct.ahn.org

Organizations & group practices 2

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 1

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1760977565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022721",
            "telephone_number": "814-456-6194",
            "fax_number": "814-452-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022721",
            "telephone_number": "814-456-6194",
            "fax_number": "814-452-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS WELLS",
        "first_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD483221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.