Individual provider Active NPI

Matthew Koperwas, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1821478751
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD465731 Issued in PA
Practice address
5889 Forbes Ave
Ste 200
Pittsburgh, PA 15217-4601
Phone
(412) 622-7343
Fax
(412) 621-8235
NPI assigned
Jun 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD465731 PA Primary
Family Medicine Physician 207Q00000X MD465731 PA

Addresses

Primary practice location

5889 Forbes Ave
Ste 200
Pittsburgh, PA 15217-4601

Mailing address

5889 Forbes Ave Ste 200
Pittsburgh, PA 15217-4601
Phone (412) 622-7343

Other practice location 1

4815 Liberty Ave Ste Gr10
Pittsburgh, PA 15224-2156
Phone (412) 235-5874

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkoperwas238054@direct.ahn.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920000185 PA Practitioner - Geriatric MedicinePractitioner - Family Practice 5395035869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

5889 Forbes Ave
Suite 200
Pittsburgh, PA 15217-4601
Phone (412) 618-3010

Hospital & facility affiliations

  • Bridges Hospice, Inc Hospice, Monroeville, PA, CCN 391734
  • Suncrest Hospice Pittsburgh, LLC Hospice, Pittsburgh, PA, CCN 391789
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Woodhaven Health & Rehab Center Nursing home, Monroeville, PA, CCN 395653
  • Willows of Presbyterian Senior Nursing home, Oakmont, PA, CCN 395713

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD465731PAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic CurrentSince Aug 26, 2019 Accepting new patients
Allegheny Clinic CurrentSince Aug 26, 2019 Accepting new patients
Woodhaven Health & Rehab Center, LLC Past Accepting new patients
Presbyterian Medical Center of Oakmont PA Inc Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4815 Liberty Ave
Ste GR10
Pittsburgh, PA 15224
Phone (412) 235-5858

5889 Forbes Ave
Ste 200
Squirrel Hill, PA 15217
Phone (412) 618-3010

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Woodhaven Health & Rehab CenterMonroeville, PA, CCN 395653 Skilled nursing facility Adp of the SNF Jul 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 5

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1821478751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 FORBES AVE STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152174601",
            "telephone_number": "412-622-7343",
            "fax_number": "412-621-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5889 FORBES AVE",
            "address_2": "STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152174601",
            "telephone_number": "412-622-7343",
            "fax_number": "412-621-8235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Liberty Ave Ste Gr10",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152242156",
            "country_code": "US",
            "telephone_number": "412-235-5874",
            "fax_number": "412-235-5877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPERWAS",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD465731",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD465731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkoperwas238054@direct.ahn.org",
            "affiliation": "N",
            "address_1": "5889 FORBES AVE",
            "address_2": "STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152174601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.