DR. MATTHEW JAMES DOUGLAS DO
NPI 1073368213
Student in an Organized Health Care Education/Training Program in West Reading, PA

Active since April 22, 2024PECOS Enrolled
420 S 5TH AVE, WEST READING, PA 19611(484) 628-8000 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Dr. Matthew James Douglas Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW JAMES DOUGLAS DO (NPI 1073368213) is an individual student in an organized health care education/training program in West Reading, Pennsylvania, licensed in Pennsylvania (OT023226) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073368213
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MATTHEW JAMES DOUGLASCredential: DO
Location Address420 S 5TH AVEWest Reading, PA 19611-2143
Mailing AddressPo Box 13579Reading, PA 19612-3579
Sole ProprietorNo
Enumeration DateApril 22, 2024
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
NPI 1073368213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · OT023226
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 S 5TH AVE, West Reading, PA 19611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Matthew James Douglas Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Douglas's NPI number?

The NPI number for Matthew Douglas is 1073368213. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Matthew Douglas located?

Matthew Douglas practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-8000.

What is Matthew Douglas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Douglas enrolled in Medicare?

Yes. Matthew Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Douglas was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.