Individual provider Active NPI

Matthew Bianco, DPM

  • Foot & Ankle Surgery Podiatrist
  • Medina, OH
National Provider Identifier
1881058220
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003897 Issued in OH
Practice address
784 Medina Rd Ste 107
Medina, OH 44256-9634
Phone
(330) 591-9635
Fax
(330) 591-4150
NPI assigned
Apr 12, 2016
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 00000000000000000000 NU
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003897 OH Primary

Addresses

Primary practice location

784 Medina Rd Ste 107
Medina, OH 44256-9634

Mailing address

784 Medina Rd Ste 107
Medina, OH 44256-9634
Phone (330) 591-9635

Other practice location 1

1900 23rd Street
Western Reserve Hospital,
Cuyahoga Falls, OH 44223
Phone (330) 971-7000

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629002570 PA Practitioner - Podiatry 8325371867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Podiatry PCGroup PAC ID 0446299952, 3 clinicians

Practice addresses (Care Compare)

180 Lincoln Ave
Bellevue, PA 15202-3904
Phone (412) 734-3200

3000 Brownsville Rd
Pittsburgh, PA 15227-2469
Phone (412) 881-5580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue437
Removal or shaving of skin growth148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Podiatry PC Single Specialty CurrentSince May 29, 2020 Accepting new patients

Locations

180 Lincoln Ave
Bellevue, PA 15202
Phone (412) 734-3200

3000 Brownsville Rd
Pittsburgh, PA 15227
Phone (412) 881-0320

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1881058220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 23rd Street",
            "address_2": "Western Reserve Hospital,",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "44223",
            "country_code": "US",
            "telephone_number": "330-971-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "MATTHEW",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": "00000000000000000000",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.