Individual provider Active NPI

Matthew Levi Fowler, DO, PHD

  • Pulmonary Disease Physician
  • Hickory, NC
National Provider Identifier
1871910091
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2021-00402 Issued in NC
Practice address
2386 Springs Rd NE
Hickory, NC 28601-3066
Phone
(828) 732-5400
Fax
(828) 732-5401
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2021-00402 NC
Pulmonary Disease Physician 207RP1001X 2021-00402 NC Primary

Addresses

Primary practice location

2386 Springs Rd NE
Hickory, NC 28601-3066

Mailing address

2386 Springs Rd NE
Hickory, NC 28601-3066
Phone (828) 732-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210830000100 NC Practitioner - Pulmonary Disease 3870803638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

2386 Springs Rd NE
Hickory, NC 28601-3066
Phone (828) 732-5400

50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

Hospital & facility affiliations

  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2021-00402NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Catawba Valley Medical Group, Inc Pulmonary Disease CurrentSince Aug 2, 2021 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Aug 2, 2021 Accepting new patients
Catawba Valley Medical Group, Inc Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

2386 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: matthew.fowler@cvmg.eclinicaldirectplus.com

Organizations & group practices 4

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 1

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1871910091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 SPRINGS RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013066",
            "telephone_number": "828-732-5400",
            "fax_number": "828-732-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 SPRINGS RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013066",
            "telephone_number": "828-732-5400",
            "fax_number": "828-732-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MATTHEW",
        "middle_name": "LEVI",
        "credential": "DO, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2021-00402",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2021-00402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.