Individual provider Active NPI

Matthew J Fabec, PA

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1881896967
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002503 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-4000
NPI assigned
Jun 1, 2007
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002503 OH Primary
Personal Emergency Response Attendant 146D00000X 50002503 OH

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

2417 Gardner CT
Twinsburg, OH 44087-3216
Phone (330) 452-8744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000392 OH Practitioner - Physician Assistant 9931208048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

1634 Snow Rd
Parma, OH 44134-2719
Phone (440) 368-1520

16601 Chagrin Blvd
Shaker Heights, OH 44120-3719
Phone (216) 727-2010

2700 E Aurora Rd
Suite F
Twinsburg, OH 44087-6818
Phone (330) 476-5510

27520 Chagrin Blvd
Beachwood, OH 44122-4424
Phone (440) 809-8810

36001 Euclid Ave
Unit 5
Willoughby, OH 44094-4643
Phone (440) 484-2160

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

6140 Som Ctr Rd
Solon, OH 44139-2333
Phone (440) 578-0845

9449 State Route 14
Streetsboro, OH 44241-5225
Phone (330) 227-6640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50002503OHMDPersonal Emergency Response Attendant
50.002503OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Urgent Care, LLC CurrentSince Dec 1, 2024 Accepting new patients
Emergency Services of Central Ohio LLC Past Accepting new patients
Emergency Professionals of Ohio, Inc. Physician Assistant Past Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

Interoperability endpoints

  • Direct secure messaging: mfabec629305@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1881896967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 GARDNER CT",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440873216",
            "telephone_number": "330-452-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABEC",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002503",
            "primary": true
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "50002503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.