Active NPI
Matthew Plotkin, MD
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD477169
- Practice address
- 3400 Spruce St.
Philadelphia, PA 19104-4228 - Phone
- (215) 662-2638
- Fax
- (215) 349-5703
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD477169 | PA | |
| Internal Medicine Physician | 207R00000X | MD477169 | PA | Primary |
Addresses
Primary practice location
3400 Spruce St.
Philadelphia, PA 19104-4228
Mailing address
3400 Spruce St.
Philadelphia, PA 19104-4228
Phone (215) 662-2638
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Spruce St 210 White BLDG
Renal Electrolyte Hup
Philadelphia, PA 19104-4228
Phone (215) 662-2638
Hospital & facility affiliations
- DaVita Buttonwood Dialysis
- DaVita University City Dialysis
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD477169 | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Medical Group | Internal Medicine | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Past | Accepting new patients |
Locations
PO B0x 824320
Philadelphia, PA 19182
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1043670805
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
Internal Medicine
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1285932475
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1881968774
Dialysis facility
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1982604138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044228",
"telephone_number": "215-662-2638",
"fax_number": "215-349-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044228",
"telephone_number": "215-662-2638",
"fax_number": "215-349-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOTKIN",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD477169",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD477169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.