Individual provider Active NPI

Reynaldo Matute, M.D.

  • Nephrology Physician
  • Murrells Inlet, SC
National Provider Identifier
1912915265
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
27909 Issued in SC
Practice address
11945 Grandhaven Dr Ste G
Murrells Inlet, SC 29576-8091
Phone
(843) 357-3334
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 27909 SC Primary

Addresses

Primary practice location

11945 Grandhaven Dr Ste G
Murrells Inlet, SC 29576-8091

Mailing address

11945 Grandhaven Dr Ste G
Murrells Inlet, SC 29576-8091
Phone (843) 357-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20050615000689 SC Practitioner - NephrologyPractitioner - Internal Medicine 6709820293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11945 Grandhaven Dr
Suite G
Murrells Inlet, SC 29576-8091
Phone (843) 357-3334

Hospital & facility affiliations

  • DaVita Market Commons Dialysis Center Dialysis facility, Myrtle Beach, SC, CCN 422649
  • FMC Dialysis Services Murrells Inlet Dialysis facility, Murrells Inlet, SC, CCN 422571
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score
42.76 of 100Reported as individual
Quality
43.33
Improvement activities
0
Cost
71.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waccamaw Kidney & Hypertension Specialists,P.a. Nephrology PastSince Jul 15, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmatute447890@direct.musc.edu

Organizations & group practices 2

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 6

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1912915265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 GRANDHAVEN DR STE G",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768091",
            "telephone_number": "843-357-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 GRANDHAVEN DR STE G",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768091",
            "telephone_number": "843-357-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUTE",
        "first_name": "REYNALDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "27909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.