NPIMap

Individual provider Active NPI

Matthew James Sheldon, MD

  • Urology Physician
  • Orchard Park, NY
National Provider Identifier
1790919728
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
300989 Issued in NY
Practice address
500 Sterling Dr
Orchard Park, NY 14127-1573
Phone
(716) 677-2273
NPI assigned
May 5, 2009
Last updated
Jan 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 300989 NY Primary

Addresses

Primary practice location

500 Sterling Dr
Orchard Park, NY 14127-1573

Mailing address

25 Crossroads Dr Ste 306
Owings Mills, MD 21117-5437
Phone (443) 738-2872

Other identifiers 1

IdentifierTypeStateIssuer
733807400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200106000814 NY Practitioner - Urology 7113146390 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Buffalo School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Physician PCGroup PAC ID 9133434269, 65 clinicians

Practice addresses (Care Compare)

500 Sterling Dr
Orchard Park, NY 14127-1573
Phone (716) 677-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.58 of 100Reported as group
Quality
39.81
Promoting interoperability
88
Improvement activities
40
Cost
83.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection39
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Surgery Center LLC CurrentSince Nov 14, 2023 Accepting new patients
Harlem Road Ambulatory Surgery Center LLC CurrentSince Oct 10, 2023 Accepting new patients
Great Lakes Physician, PC Urology CurrentSince Feb 1, 2020 Accepting new patients
Great Lakes Physician, PC Urology CurrentSince Feb 1, 2020 Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Jun 1, 2022 Accepting new patients

Locations

726 Exchange St
Ste 200
Buffalo, NY 14210

3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225
Phone (716) 844-5000

3085 Harlem Rd
Ste 300
Cheektowaga, NY 14225
Phone (716) 422-5422

3085 Harlem Rd
Ste 350
Cheektowaga, NY 14225
Phone (716) 844-5000

500 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-2273

5959 Big Tree Rd
Ste 100
Orchard Park, NY 14127

Interoperability endpoints

  • Direct secure messaging: drsheldon@qualitycare.medentdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1790919728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175437",
            "telephone_number": "443-738-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STERLING DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271573",
            "telephone_number": "716-677-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "300989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "733807400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.