Active NPI
Michael B Matela, MD
- Family Medicine Physician
- Charles Town, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60794489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60794489 | WA | MD | Family Medicine Physician |
| 25248 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Auburn Urgent Care, Inc | Family Medicine | Past | 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
- 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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
Family Medicine
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Family Medicine
-
- Emergency Medicine Physician
- Durham, NC
- NPI 1780612713
Family Medicine
-
- Clinic/Center
- Eau Claire, WI
- NPI 1316416035
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Family Medicine Physician
- Auburn, AL
- NPI 1972692986
-
- Urgent Care Clinic/Center
- Milton, FL
- NPI 1396995031
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.