MATTHEW JESSE FIORAVANTI MD
NPI 1174186142
Student in an Organized Health Care Education/Training Program in Denver, CO

Q: What is Matthew Fioravanti's NPI number?

The NPI number for Matthew Fioravanti is 1174186142. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Q: What is Matthew Fioravanti's specialty?

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

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment

1960 N OGDEN ST STE 400, DENVER, CO 80218(303) 318-1540 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, May 19, 2021, Apr 16, 2019 (3 updates tracked since 2019).

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About Matthew Jesse Fioravanti Md NPPES

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

MATTHEW JESSE FIORAVANTI MD (NPI 1174186142) is an individual student in an organized health care education/training program in Denver, Colorado, licensed in Colorado (TL.0007616) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174186142

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW JESSE FIORAVANTICredential: MD

Location Address1960 N OGDEN ST STE 400Denver, CO 80218-3670

Mailing Address1960 N Ogden St Ste 400Denver, CO 80218-3670

Phone(303) 318-1540

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 16, 2019

Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration

NPPES CertifiedMay 19, 2021

✔ NPI 1174186142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CO · TL.0007616

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.

1960 N OGDEN ST STE 400, Denver, CO 80218

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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 Jesse Fioravanti Md 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 ID4082944749

PECOS Enrollment IDI20240401000812

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 Reassignment

Medicare enrollment records show Matthew Fioravanti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

806 mi

Health Maintenance Organization

43112 N 15TH ST
Lancaster, CA 93534

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1982863783 (661) 726-2279

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

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.

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