Individual provider Active NPI

Matthew Edward Hiro, M.D.

  • Plastic Surgery Physician
  • Bay Pines, FL
National Provider Identifier
1780876623
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME131163 Issued in FL
Practice address
10000 Bay Pines Blvd
Bay Pines Medical Center Dept of Surgery
Bay Pines, FL 33744
Phone
(727) 398-6661
NPI assigned
Aug 14, 2007
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME131163 FL Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME131163 FL

Addresses

Primary practice location

10000 Bay Pines Blvd
Bay Pines Medical Center Dept of Surgery
Bay Pines, FL 33744

Mailing address

10000 Bay Pines Blvd
Bay Pines Medical Center Dept of Surgery
Bay Pines, FL 33744
Phone (727) 398-6661

Other practice location 1

10383 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3782
Phone (561) 739-5252

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114004117 FL Practitioner - Plastic and Reconstructive Surgery 5193946564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vein and Skin LLCGroup PAC ID 9830476712, 21 clinicians

Practice addresses (Care Compare)

10383 Hagen Ranch Rd
Suite 100
Boynton Beach, FL 33437-3782
Phone (561) 739-5252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131163FLMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vein and Skin LLC Plastic Surgery CurrentSince Nov 1, 2024 Accepting new patients
Total Vein and Skin LLC PastSince Jan 28, 2024 Accepting new patients

Locations

20937 Lyons Rd
Boca Raton, FL 33428
Phone (561) 483-5666

7280 W Palmetto Park Rd
Ste 207
Boca Raton, FL 33433
Phone (561) 278-1362

10383 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 349-7653

5353 N Federal Hwy
Ste 303
Ft Lauderdale, FL 33308
Phone (954) 860-7500

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, 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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1780876623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "address_2": "BAY PINES MEDICAL CENTER DEPT OF SURGERY",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "address_2": "BAY PINES MEDICAL CENTER DEPT OF SURGERY",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10383 Hagen Ranch Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373782",
            "country_code": "US",
            "telephone_number": "561-739-5252",
            "fax_number": "561-739-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRO",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME131163",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME131163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Pines, FL

Sources for this page

Verify at the official NPI Registry.