Active NPI
Colleen Matejicka, D.O.
- Rheumatology Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- OS009984L
- Practice address
- 2108 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644 - Phone
- (717) 299-1301
- Fax
- (717) 299-2214
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | OS009984L | PA | Primary |
Addresses
Primary practice location
2108 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Mailing address
2108 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 299-1301
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018997900001 | Medicaid | PA | |
| 1062166 | Other | PA | AETNA HMO |
| 1527199 | Other | PA | GATEWAY HEALTH PLAN |
| 7990688 | Other | PA | AETNA NON-HMO |
| H62859 | Other | PA | HEALTH ASSURANCE |
| 1390245 | Other | PA | HIGHMARK BLUE SHIELD |
| 50000922 | Other | PA | CAPITAL BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Philadelphia College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1261 Division Hwy
Ephrata, PA 17522-8822
1261 Division Hwy 2
Ephrata, PA 17522-8822
Phone (717) 738-5544
2100 Harrisburg Pike
Suite 2112
Lancaster, PA 17601-2644
Phone (717) 544-3216
2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-9400
2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3626
2106 Harrisburg Pike
Lancaster, PA 17601-2644
2108 Harrisburg Pike
Lancaster, PA 17601-2644
2110 Harrisburg Pike
Lancaster, PA 17601-2644
2112 Harrisburg Pike
Lancaster, PA 17601-2644
2150 Harrisburg Pike
Suite 200a
Lancaster, PA 17601-2644
Phone (717) 544-3059
3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644
418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 627-7696
426 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 393-1900
432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350
554 N Duke St
LGHP Penn Med Plastic and Cosmetic Surgery
Lancaster, PA 17602-2250
Phone (717) 291-5863
555 N Duke St
Lancaster, PA 17602-2250
555 N Duke St 1St Floor
LGHP Penn Medicine Behavioral Health
Lancaster, PA 17602-2250
Phone (717) 560-3782
Hospital & facility affiliations
- Lancaster General Hospital
- Wellspan Ephrata Community Hospital
- Wellspan York Hospital
- Reading Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS009984L | PA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Past | Accepting new patients | |
| Lancaster General Medical Group | Past | Accepting new patients |
Locations
426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301
1261 Division Hwy
#2
Ephrata, PA 17522
Phone (717) 299-1301
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
690 Good Dr
Ste 23
Lancaster, PA 17601
Phone (717) 299-1301
2108 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3555
2104 Harrisburg Pike
Ste 24
Lancaster, PA 17601
Phone (717) 299-1301
Interoperability endpoints
- cmatejicka1099@direct-lghealth.org
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
-
- Physical Medicine & Rehabilitation Physician
- Lancaster, PA
- NPI 1194063743
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
- Family Medicine Physician
- East Petersburg, PA
- NPI 1083600290
-
- Family Medicine Physician
- Strasburg, PA
- NPI 1316912785
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1467007112
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1669530069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1790768828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 HARRISBURG PIKE",
"address_2": "SUITE 200",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-299-1301",
"fax_number": "717-299-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 HARRISBURG PIKE",
"address_2": "SUITE 200",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-299-1301",
"fax_number": "717-299-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEJICKA",
"first_name": "COLLEEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "OS009984L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018997900001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1062166",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1527199",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "7990688",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "H62859",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1390245",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50000922",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.