Active NPI
Matthew C Sophy, DO
- Adult Medicine Physician
- Orwigsburg, PA
National Provider Identifier
1922071620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OS005079L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009455300002 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071023000231 | PA | Practitioner - Family Practice | 9133215031 | Practice locations: Port Carbon, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS005079L | PA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Monroeville, PA
- NPI 1750421301
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.