NPIMap

Individual provider Active NPI

Matthew Dale Hartig, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1780614974
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.085521 Issued in OH
Practice address
2135 Dana Ave Ste 210
Cincinnati, OH 45207-1327
Phone
(513) 351-1200
Fax
(513) 351-1580
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39418 KY
Internal Medicine Physician 207R00000X 35.085521 OH Primary

Addresses

Primary practice location

2135 Dana Ave Ste 210
Cincinnati, OH 45207-1327

Mailing address

2135 Dana Ave Ste 210
Cincinnati, OH 45207-1327
Phone (513) 351-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000634 OH Practitioner - Internal Medicine 8820279516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical Associates IncGroup PAC ID 4082077441, 2 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

2727 Madison Rd
Suite 202
Cincinnati, OH 45209-2276
Phone (513) 502-0171

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39418KYMDInternal Medicine Physician
35.085521OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical Associates, Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

2727 Madison Rd
Ste 202
Cincinnati, OH 45209
Phone (513) 502-0171

Interoperability endpoints

  • Direct secure messaging: matthew.hartig.1@29085.direct.athenahealth.com

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 10

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1780614974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071327",
            "telephone_number": "513-351-1200",
            "fax_number": "513-351-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071327",
            "telephone_number": "513-351-1200",
            "fax_number": "513-351-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTIG",
        "first_name": "MATTHEW",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39418",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.085521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.