NPIMap

Individual provider Active NPI

Matthew Magdic, NP

  • Family Nurse Practitioner
  • Washington, PA
National Provider Identifier
1922461052
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015936 Issued in PA
Practice address
764 Locust Ave
Washington, PA 15301-2756
Phone
(723) 228-1303
Fax
(724) 228-1513
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015936 PA Primary

Addresses

Primary practice location

764 Locust Ave
Washington, PA 15301-2756

Mailing address

764 Locust Ave
Washington, PA 15301-2756
Phone (723) 228-1303

Other identifiers 1

IdentifierTypeStateIssuer
SP015936OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160614000138 PA Practitioner - Nurse Practitioner 1052602562 Reassigns benefits to 4 organizations
I20190412000285 WV Practitioner - Nurse Practitioner 1052602562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Teredesai McCann and Associates PCGroup PAC ID 4183601982, 13 clinicians

Practice addresses (Care Compare)

1597 Washington Pike
Suite A22
Bridgeville, PA 15017-2878
Phone (412) 489-6919

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teredesai McCann & Associates PC CurrentSince Jan 28, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2024 Accepting new patients
Washington Physician Services CurrentSince Jan 23, 2019 Accepting new patients
Teredesai McCann & Associates PC Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2024 Accepting new patients

Locations

2242 Darlington Rd
Ste B
Beaver Falls, PA 15010
Phone (724) 384-8392

2242 Darlington Rd
Beaver Falls, PA 15010
Phone (724) 843-9150

1597 Washington Pike
Ste A22
Bridgeville, PA 15017
Phone (412) 489-6919

1200 Brooks Ln
Ste 285
Jefferson Hls, PA 15025
Phone (412) 384-1644

560 Steubenville Pike
Paris, PA 15021
Phone (724) 947-5350

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

764 Locust Ave
Washington, PA 15301
Phone (724) 229-7377

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

350 Bonar Ave
Waynesburg, PA 15370
Phone (724) 627-2606

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: mmagdic@tma.medentdirect.com

Organizations & group practices 7

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 12

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922461052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 LOCUST AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012756",
            "telephone_number": "723-228-1303",
            "fax_number": "724-228-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 LOCUST AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012756",
            "telephone_number": "723-228-1303",
            "fax_number": "724-228-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDIC",
        "first_name": "MATTHEW",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP015936",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.