Active NPI
Matthew Lewis Nordike, DO
- Internal Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17928
- Practice address
- 119 Oakfield Dr
Brandon, FL 33511-5779 - Phone
- (813) 681-5551
- Fax
- (813) 916-2944
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17928 | FL | Primary |
Addresses
Primary practice location
119 Oakfield Dr
Brandon, FL 33511-5779
Mailing address
1000 Mar Walt Dr
Ft Walton BCH, FL 32547-6708
Phone (813) 681-5551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Alabama College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Mar Walt Dr
Fort Walton Beach Medicla Center
Fort Walton Beach, FL 32547-6708
Phone (850) 864-0213
151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100
340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17928 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floridian Hospitalist Services, LLC | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Floridian Hospitalist Services, LLC | Current | Accepting new patients |
Locations
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Melbourne, FL
- NPI 1831530385
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
dba White-Wilson Medical Center
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1225981707
-
- Hospitalist Physician
- Crestview, FL
- NPI 1881049997
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
dba HCA Florida Fort Walton-Destin Hospital
- General Acute Care Hospital
- Fort Walton Beach, FL
- NPI 1639128820
-
dba HCA Florida Twin Cities Hospital
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1770087942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MAR WALT DR",
"city": "FT WALTON BCH",
"state": "FL",
"postal_code": "325476708",
"telephone_number": "813-681-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115779",
"telephone_number": "813-681-5551",
"fax_number": "813-916-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDIKE",
"first_name": "MATTHEW",
"middle_name": "LEWIS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2022-03-02",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "17928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
- Joseph Nohava
- Kali Nolan, DO
- Nicole Nonclerc, MS, LMHC, MCAP, NCC
- Tariq S Noohani, D.O.
- Troy P Noonan, M.D.
- John Basil Noriega II, PHARMD
- John Basil Noriega, RPH
- Eileen Norris
- North Brandon Imaging LLC (Tower Diagnostic Center of Brandon)
- North Brandon Imaging, LLC (dba Tower Diagnostic Center of Brandon, Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.