Active NPI
Orlando O Matias, D.O
- Family Medicine Physician
- Okemos, MI
National Provider Identifier
1992773402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101014979
- Practice address
- 2104 Jolly Rd
Suite 290
Okemos, MI 48864-6043 - Phone
- (517) 220-4507
- Fax
- (517) 575-6869
- NPI assigned
- Mar 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101014979 | MI | Primary |
Addresses
Primary practice location
2104 Jolly Rd
Suite 290
Okemos, MI 48864-6043
Mailing address
16943 Broadview Dr
East Lansing, MI 48823-9662
Phone (517) 339-1179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4619003 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Family Practice
- Education
- University of Missouri, Kansas City, School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2104 Jolly Rd
Suite 290
Okemos, MI 48864-6042
Phone (517) 220-4507
Hospital & facility affiliations
- Sparrow Home Care
- Edward W Sparrow Hospital
- McLaren Greater Lansing
- Eaton Rapids Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101014979 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Matias DO PC | Family Medicine | Current | Accepting new patients |
Locations
2104 Jolly Rd
Ste 290
Okemos, MI 48864
Phone (517) 220-4507
Interoperability endpoints
- matiasdo@omdp-mi.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Family Medicine Physician
- Okemos, MI
- NPI 1174707525
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Eaton Rapids, MI
- NPI 1417044660
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
-
- Home Health Agency
- Lansing, MI
- NPI 1972536290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1992773402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16943 BROADVIEW DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488239662",
"telephone_number": "517-339-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 JOLLY RD",
"address_2": "SUITE 290",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488646043",
"telephone_number": "517-220-4507",
"fax_number": "517-575-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "ORLANDO",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101014979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4619003",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.