Active NPI
Matthew T Ewald, MD
- Family Medicine Physician
- Rochester Hills, MI
National Provider Identifier
1831180595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301070218
- Practice address
- 2940 Crooks Rd
Rochester Hills, MI 48309-3609 - Phone
- (248) 997-9700
- Fax
- (248) 997-9707
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301070218 | MI | Primary |
Addresses
Primary practice location
2940 Crooks Rd
Rochester Hills, MI 48309-3609
Mailing address
2940 Crooks Rd
Rochester Hills, MI 48309-3609
Phone (248) 997-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Family Practice
- Education
- Saint Louis University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 Crooks Rd
Rochester Hills, MI 48309-3609
Phone (248) 934-1703
Hospital & facility affiliations
- Residential Home Health
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Farmington Hills
- Ascension Providence Rochester Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301070218 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonebrooke Family Physicians | Family Medicine | Current | Accepting new patients |
| Stonebrooke Family Physicians | Family Medicine | Current | Accepting new patients |
| DMC Orthopedic Billing Associates LLC | Past | Accepting new patients |
Locations
2064 Momentum Pl
Chicago, IL 60689
2930 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 243-3330
2940 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 934-1703
Interoperability endpoints
- mewald1035666@direct.hfhs.org
- matthewewald@sfp.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Rochester Hills, MI
- NPI 1972667780
-
- Family Medicine Physician
- Rochester Hills, MI
- NPI 1184682767
-
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1457387607
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1831180595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 CROOKS RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093609",
"telephone_number": "248-997-9700",
"fax_number": "248-997-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 CROOKS RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093609",
"telephone_number": "248-997-9700",
"fax_number": "248-997-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWALD",
"first_name": "MATTHEW",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301070218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.