Individual provider Active NPI

Matthew Robert Wolfgang, M.D.

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1902225196
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.131010 Issued in OH
Practice address
8240 Northcreek Dr
Cincinnati, OH 45236-2377
Phone
(513) 246-7000
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 OH
Pediatrics Physician 208000000X 35.131010 OH Primary

Addresses

Primary practice location

8240 Northcreek Dr
Cincinnati, OH 45236-2377

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 246-1964

Other practice location 1

3333 Burnet Ave
ML 2008
Cincinnati, OH 45229-3026
Phone (513) 636-7966

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518000893 OH Practitioner - Pediatric Medicine 9830466044 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Pediatrics CurrentSince Jan 18, 2022 Accepting new patients
Children'S Hospital Medical Center Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Trihealth G, LLC CurrentSince Jan 18, 2022 Accepting new patients
Trihealth G LLC Pediatrics Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

8240 Northcreek Dr
Ste 1400
Cincinnati, OH 45236
Phone (513) 792-4700

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

3333 Burnet Ave
#2008
Cincinnati, OH 45229
Phone (513) 636-7966

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

8240 Northcreek Dr
Cincinnati, OH 45236
Phone (513) 246-5303

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

Interoperability endpoints

  • Direct secure messaging: mwolfgang245236@direct.trihealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1902225196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-246-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NORTHCREEK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362377",
            "telephone_number": "513-246-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave",
            "address_2": "ML 2008",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-7966",
            "fax_number": "513-636-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFGANG",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.131010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.