Individual provider Active NPI

Michael B Matela, MD

  • Family Medicine Physician
  • Charles Town, WV
National Provider Identifier
1881795490
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60794489 Issued in WA
Practice address
912 Somerset Blvd Ste 102
Charles Town, WV 25414-3954
Phone
(304) 725-2273
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60794489 WA Primary
Family Medicine Physician 207Q00000X 25248 WV

Addresses

Primary practice location

912 Somerset Blvd Ste 102
Charles Town, WV 25414-3954

Mailing address

16 Sterling Dr Ste 102
Bridgeport, WV 26330-9133
Phone (681) 342-3453

Other practice location 1

301 Suncrest Town Centre Dr
Morgantown, WV 26505-1874
Phone (304) 599-2273

Other practice location 2

301 Suncrest Town Centre Dr
Morgantown, WV 26505-1874
Phone (304) 599-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmatela25298@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130820000043 WV Practitioner - Family PracticePractitioner - Emergency Medicine 2264515568 Reassigns benefits to 2 organizations
I20161208001524 NC Practitioner - Family Practice 2264515568 Reassigns benefits to 1 organization
I20191025000354 WI Practitioner - Emergency MedicinePractitioner - Family Practice 2264515568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

912 Somerset Blvd
Suite 102
Charles Town, WV 25414-3954
Phone (304) 725-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60794489WAMDFamily Medicine Physician
25248WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 21, 2019 Accepting new patients
West Virginia University Medical Corporation Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Oct 10, 2016 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 1, 2013 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Oct 10, 2016 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 21, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 21, 2019 Accepting new patients
Auburn Urgent Care, Inc Family Medicine PastSince May 1, 2016 Accepting new patients
Santa Rosa Hma Urgent Care LLC Past Accepting new patients

Locations

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

10950 Chapel Hill Rd
Ste A
Morrisville, NC 27560
Phone (919) 327-1630

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

10211 Alm St
Ste 1200
Raleigh, NC 27617
Phone (919) 206-4889

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

2655 County Highway I
Chippewa Fls, WI 54729
Phone (715) 723-8827

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

16 Sterling Dr
Ste 102
Bridgeport, WV 26330
Phone (681) 342-2133

912 Somerset Blvd
Ste 102
Charles Town, WV 25414
Phone (304) 725-2273

5047 Gerrardstown Rd
Ste 2B
Inwood, WV 25428
Phone (304) 821-1444

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

301 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 598-8908

Interoperability endpoints

  • Direct secure messaging: mmatela25298@direct.wvuhsdirect.com

Organizations & group practices 12

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1881795490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STERLING DR STE 102",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309133",
            "telephone_number": "681-342-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SOMERSET BLVD STE 102",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143954",
            "telephone_number": "304-725-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Suncrest Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051874",
            "country_code": "US",
            "telephone_number": "304-599-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Suncrest Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051874",
            "country_code": "US",
            "telephone_number": "304-599-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATELA",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60794489",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "25248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmatela25298@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

Verify at the official NPI Registry.