Individual provider Active NPI

Matthew M Hand, PAC

  • Physician Assistant
  • Tyler, TX
National Provider Identifier
1992797799
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2557 Issued in OK
Practice address
619 S Fleishel Ave
Suite 101
Tyler, TX 75701-2004
Phone
(903) 595-5514
Fax
(903) 262-3702
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2557 OK Primary

Addresses

Primary practice location

619 S Fleishel Ave
Suite 101
Tyler, TX 75701-2004

Mailing address

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2604
Phone (405) 701-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004001079 OK Practitioner - Physician Assistant 8426008665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Health Clinic PLLCGroup PAC ID 5597070326, 23 clinicians

Practice addresses (Care Compare)

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3539

Hospital & facility affiliations

  • Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as individual
Quality
71.18
Promoting interoperability
100
Improvement activities
40
Cost
67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2557OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Cardiovascular Consultants P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: matthew.hand.1@23723.direct.athenahealth.com
  • Direct secure messaging: matthew.hand.p1@direct.ahgcardiology.nextgenshare.com

Organizations & group practices 2

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 1

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1992797799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342604",
            "telephone_number": "405-701-9880",
            "fax_number": "405-701-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE",
            "address_2": "SUITE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-595-5514",
            "fax_number": "903-262-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAND",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.