MATTHEW B AJLUNI DO
NPI 1124072400
Family Medicine in Ann Arbor, MI

Q: What is Matthew Ajluni's NPI number?

The NPI number for Matthew Ajluni is 1124072400. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Matthew Ajluni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Ajluni was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment

4200 WHITEHALL DR, STE 150, ANN ARBOR, MI 48105(734) 995-0308(734) 995-0425 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Matthew B Ajluni Do NPPES

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

MATTHEW B AJLUNI DO (NPI 1124072400) is an individual family medicine provider in Ann Arbor, Michigan, licensed in Michigan (5101015506) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and maintains a secondary practice location in Langhorne.

NPPES Registry Identity

NPI1124072400

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW B AJLUNICredential: DO

Location Address4200 WHITEHALL DR, STE 150Ann Arbor, MI 48105

Mailing Address24 Frank Lloyd Wright Dr, Po Box 0446 Lobby JAnn Arbor, MI 48105-9484 · (734) 747-6766 · Fax (734) 222-3100

Phone(734) 995-0308

Fax(734) 995-0425

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2002

Enumeration DateMay 20, 2006

Last NPPES UpdateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1124072400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 5101015506✔ Licensed in PA · OS025203C

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036113084 (IL)

4200 WHITEHALL DR, Ann Arbor, MI 48105

Open in Google Maps ↗

Secondary Practice Location 1

Location 11205 Langhorne Newtown Rd Ste 102BLanghorne, PA 19047-1220 · Phone (215) 710-2633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health Insurance, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew B Ajluni Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890710669

PECOS Enrollment IDI20130125000131

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Ajluni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iha Health Services Corporation

Same address

Obstetrics & Gynecology

4200 WHITEHALL DR STE 300
Ann Arbor, MI 48105

Reassigned Medicare billing, Michigan enrollment
1,480 clinicians in this Medicare group

NPI 1235286840 (734) 434-0477

Trinity Health Mid-Atlantic Medical Group

465 mi

Family Medicine

1001 BALTIMORE PIKE STE 109
Springfield, PA 19064

Reassigned Medicare billing, Pennsylvania enrollment
646 clinicians in this Medicare group

NPI 1740704667 (610) 690-1776

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 52

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

1,911 services1,673 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

361 services350 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

301 services299 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

290 services282 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

286 services271 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

260 services257 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

250 services243 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

228 services214 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

206 services198 patients

X-ray of ribs on side of body, minimum of 3 views 71101

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

194 services192 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

193 services192 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

172 services164 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

125 services108 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

107 services107 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

101 services99 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

88 services88 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

83 services82 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

80 services80 patients

X-ray of abdomen, 2 views 74019

An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.

77 services76 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

60 services60 patients

X-ray of middle spine, 3 views 72072

An X-ray of the middle spine, with 3 views, is a diagnostic procedure where images are taken from different angles (front, side, and angled) to assess the health of your spine. It helps identify issues like fractures, tumors, or degenerative conditions.

58 services57 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

56 services56 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

55 services54 patients

X-ray of both hips, minimum of 5 views 73523

An X-ray of both hips with a minimum of 5 views is a non-invasive imaging test. It uses a small amount of radiation to produce images of the hip joints from different angles. This aids in diagnosing conditions such as fractures, arthritis, or other hip abnormalities.

49 services49 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

43 services43 patients

X-ray of upper arm, minimum of 2 views 73060

An X-ray of the upper arm with a minimum of 2 views involves capturing images of your arm from different angles. This helps in assessing the bones and surrounding tissues for any abnormalities or injuries. It's a quick, painless procedure.

36 services36 patients

X-ray of forearm, 2 views 73090

An X-ray of the forearm, 2 views, is a diagnostic procedure where two different pictures of your forearm are taken using a small amount of radiation. These images help doctors assess your bone health and identify any fractures, infections, or other abnormalities.

33 services33 patients

X-ray of toe, minimum of 2 views 73660

An X-ray of the toe with a minimum of 2 views involves capturing images of your toe from different angles. This test helps identify any abnormalities or injuries such as fractures or infections. It's a quick, painless procedure that provides valuable information about your toe's health.

33 services33 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

33 services31 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

33 services31 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

33 services33 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

30 services30 patients

X-ray of ribs on side of body, 2 views 71100

This procedure involves taking two separate X-ray images of your ribs from different angles. It's a non-invasive test that helps visualize the bones and surrounding areas to detect any abnormalities or injuries. You'll be positioned carefully to capture the best images.

28 services28 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

28 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services27 patients

X-ray of sacrum and tailbone, minimum of 2 views 72220

An X-ray of the sacrum and tailbone involves capturing images of these lower spine areas from at least two different angles. This non-invasive procedure helps detect abnormalities or injuries, providing valuable information for accurate diagnosis and treatment.

25 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services25 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

24 services24 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

23 services23 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

20 services20 patients

X-ray of joint between lower spine and hip bone, 3 or more views 72202

This procedure involves taking X-ray images of the joint connecting your lower spine and hip bone from three or more angles. It helps in diagnosing conditions like arthritis or fractures. You'll be positioned carefully, and the X-ray machine will capture the images.

20 services20 patients

Ultrasound scan of scrotum 76870

An ultrasound scan of the scrotum is a non-invasive imaging test. It uses sound waves to create pictures of the structures within the lower abdominal area. This helps to assess any discomfort or abnormalities you might be experiencing. The procedure is safe and painless.

20 services20 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

18 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

17 services17 patients

X-ray series of abdomen with single x-ray of chest 74022

An X-ray series of the abdomen and a single X-ray of the chest are imaging tests. They help doctors view the structures within your abdomen and chest. These tests can detect issues like blockages, infections, or tumors. You'll be positioned carefully, and the machine captures images.

16 services16 patients

X-ray of ribs on both sides of body, minimum of 4 views 71111

An X-ray of the ribs on both sides of the body, with a minimum of 4 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the ribs and surrounding structures, helping to diagnose conditions like fractures or lung diseases.

14 services14 patients

X-ray of collar bone 73000

An X-ray of the collar bone is a quick, painless test that produces images of this bone to help diagnose fractures or other abnormalities. The procedure involves a small amount of radiation to capture these images. During the test, you'll be asked to stay still to ensure clear results.

14 services14 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

X-ray of hand, 2 views 73120

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

12 services12 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

12 services11 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. MELISSA SUE VETTRAINO FNP-BC

Nurse Practitioner

4200 WHITEHALL DR, SUITE 150
ANN ARBOR, MI 48105

Washtenaw County (734) 995-0308

BAILEY TUCKER PA

Physician Assistant (Medical)

4200 WHITEHALL DR, SUITE 150
ANN ARBOR, MI 48105

Washtenaw County (734) 995-0308

STEPHANIE CATHERINE GILLMAN PA-C

Physician Assistant

4200 WHITEHALL DR, SUITE 130
ANN ARBOR, MI 48105

Washtenaw County (734) 995-0425

MR. KIRK ADAM SCHULTZ PA-C

Physician Assistant

4200 WHITEHALL DR, SUITE 150
ANN ARBOR, MI 48105

Washtenaw County (734) 995-0308

IHA HEALTH SERVICES CORPORATION

Lactation Consultant, Non-RN

4200 WHITEHALL DR, SUITE 230
ANN ARBOR, MI 48105

Washtenaw County (734) 769-3896

DR. DORIAN DENISE MOORE MD

Internal Medicine

4200 WHITEHALL DR, STE 130
ANN ARBOR, MI 48105

Washtenaw County (734) 995-0303

HEATHER LEIGH SIMPKINS MD

Internal Medicine

4200 WHITEHALL DR, STE 130
ANN ARBOR, MI 48105

Washtenaw County (734) 995-0303

DR. DAVID S WALTER MD

Family Medicine

4200 WHITEHALL DR, SUITE 150
ANN ARBOR, MI 48105

Washtenaw County (734) 995-0308

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 Ajluni's NPI number?

The NPI number for Matthew Ajluni is 1124072400. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Matthew Ajluni located?

Matthew Ajluni practices at 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105. The listed phone number is (734) 995-0308.

What is Matthew Ajluni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Ajluni enrolled in Medicare?

Yes. Matthew Ajluni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Ajluni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Ajluni reassigns Medicare benefits to 2 organizations: Iha Health Services Corporation (Ann Arbor, MI) and Trinity Health Mid-Atlantic Medical Group (Springfield, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Ajluni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Ajluni accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health Insurance and Priority Health list Matthew Ajluni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Ajluni affiliated with any hospitals?

According to CMS data, Matthew Ajluni is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Ajluni was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.