Matthew Ryan Kavalek, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD476579 Issued in PA

Practice address

170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155

Phone

(215) 264-4316

NPI assigned

Apr 19, 2019

Last updated

Jul 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Halo Healthcare, PLLC

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1891388062
  NPD (past)

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1871156398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 PATTY LN",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "215-264-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVALEK",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD476579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Katz
• Jeffrey I Katzman, M.D.
• Christianne Kauffman, CRNP
• Pamela L Kauffman, CRNA
• Ramandeep Kaur
• Kayla Billger Counseling LLC
• Kaitlin Kealey, MS, CCC-SLP
• Kenneth Kearns, M.D.
• Diana P. Keat, LSW
• Kellie M Keenan, P.A.-C

• Family Medicine Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.