Mark P Dematteo, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

150129 Issued in MA

Practice address

111 Grossman Dr
Braintree, MA 02184-4997

Phone

(781) 849-1000

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdematteomd166031@direct.atrius.masshiway.net
• Direct secure messaging: mdematteo15671@direct.southcoast.org
• Direct secure messaging: mdematteo254383@direct.bilh.masshiway.net

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.

• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Emergency Medical Services (Emergency Medicine) Physician
  • Boston, MA
  • NPI 1952358533

  MA

  Medicare reassignment Care Compare group NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914

  MA

  Medicare reassignment Care Compare group NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1194765438

  MA

  Medicare reassignment NPD
• Urgi Center Medical Group

  • Urgent Care Clinic/Center
  • Sandwich, MA
  • NPI 1902146798

  MA

  Medicare reassignment NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1861216038
  Care Compare group NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Diagnostic Radiology Physician
  • Milton, MA
  • NPI 1245773308
  Care Compare group
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Anatomic Pathology & Clinical Pathology Physician
  • Milton, MA
  • NPI 1336781301
  Care Compare group
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Neurology Physician
  • Needham, MA
  • NPI 1487162426
  Care Compare group
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1497151773
  Care Compare group
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Urology Physician
  • Needham, MA
  • NPI 1902316136
  Care Compare group
• Atrius Health, Inc.

  • Clinical Medical Laboratory
  • Needham, MA
  • NPI 1194074997
  Care Compare group
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Braintree, MA
  • NPI 1487877692
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Hospital Plymouth, Inc.

  • General Acute Care Hospital
  • Plymouth, MA
  • NPI 1043299001

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

University of Vermont College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Physicians of Harvard Medical Faculty Physicians at Beth Is 566 clinicians

Atrius Health Inc 1,214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1922044015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GROSSMAN DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844997",
            "telephone_number": "781-849-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GROSSMAN DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844997",
            "telephone_number": "781-849-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTEO",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "150129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "766710",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158250",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930100100",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J17389",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdematteomd166031@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "111 Grossman Dr",
            "city": "Braintree",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021844997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael F. Dell'Orfano, LIC. ACU.
• Debra Melia Delucca
• Jamie Robert Delugan, OD
• Delugan, Thurm and Associates OD PC
• Caroline Demac
• Alyssa Demeule, PT, DPT
• Denoy Physical Therapy LLC
• Kristen Ashley Denton, MAFT
• Mackenzie Desmond
• Mercy Devadoss, MS, RD, LDN, CDE

• All providers in Braintree, MA
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.

Verify at the official NPI Registry.