Individual provider Active NPI

Matthew Ryan Workman, MD, MPH, FAAP

  • Pediatrics Physician
  • Cleveland, TN
National Provider Identifier
1801327101
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60128 Issued in TN
Practice address
1060 Peerless Xing NW Ste 100
Cleveland, TN 37312-3785
Phone
(423) 339-5656
Fax
(423) 339-8889
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 60128 TN Primary

Addresses

Primary practice location

1060 Peerless Xing NW Ste 100
Cleveland, TN 37312-3785

Mailing address

1060 Peerless Xing NW Ste 100
Cleveland, TN 37312-3785
Phone (423) 339-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170623001351 AR Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4385912880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60128TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peerless Pediatrics, PLLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0626300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1801327101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS XING NW STE 100",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123785",
            "telephone_number": "423-339-5656",
            "fax_number": "423-339-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS XING NW STE 100",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123785",
            "telephone_number": "423-339-5656",
            "fax_number": "423-339-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FAAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "60128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.