Individual provider Active NPI

Matthew C Sophy, DO

  • Adult Medicine Physician
  • Orwigsburg, PA
National Provider Identifier
1922071620
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS005079L Issued in PA
Practice address
4305 Brookside CT
Orwigsburg, PA 17961-9344
Phone
(570) 691-5298
Fax
(862) 298-0872
NPI assigned
Feb 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS005079L PA Primary

Addresses

Primary practice location

4305 Brookside CT
Orwigsburg, PA 17961-9344

Mailing address

4305 Brookside CT
Orwigsburg, PA 17961-9344
Phone (570) 691-5298

Other identifiers 1

IdentifierTypeStateIssuer
0009455300002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071023000231 PA Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Geriatric Medicine 9133215031 Practice locations: Port Carbon, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS005079LPAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Health Services Management, LP Past Accepting new patients

Organizations & group practices 1

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": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1922071620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 BROOKSIDE CT",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619344",
            "telephone_number": "570-691-5298",
            "fax_number": "862-298-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 BROOKSIDE CT",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619344",
            "telephone_number": "570-691-5298",
            "fax_number": "862-298-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPHY",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-12",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "OS005079L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009455300002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

Verify at the official NPI Registry.