ORLANDO MATIAS DO PC
NPI 1174707525
Family Medicine in Okemos, MI

Active since December 20, 2007CLIA 23D2123696 · Waiver
2104 JOLLY RD, SUITE 290, OKEMOS, MI 48864(517) 220-4507(517) 575-6869 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Orlando Matias Do Pc NPPES

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

ORLANDO MATIAS DO PC (NPI 1174707525) is a healthcare organization registered as a family medicine in Okemos, Michigan and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Orlando O Matias, Owner, as its authorized official.

NPPES Registry Identity

NPI1174707525
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameORLANDO MATIAS DO PC
Location Address2104 JOLLY RD, SUITE 290Okemos, MI 48864-6043
Mailing Address2104 Jolly Rd, Suite 290Okemos, MI 48864-6043 · (517) 220-4507 · Fax (517) 575-6869
Fax(517) 575-6869
Organization SubpartNo
Authorized OfficialOrlando O MatiasOwner · (517) 220-4507
Enumeration DateDecember 20, 2007
Last NPPES UpdateFebruary 14, 2017
✔ NPI 1174707525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101014979
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.
2104 JOLLY RD, Okemos, MI 48864

Other Identifiers 1

Medicare PINON91300

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orlando Matias Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20080111000745Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Orlando Matias Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1992773402
2104 JOLLY RD SUITE 290
Okemos, MI 48864
(517) 220-4507
✔ PECOS✔ Accepts Medicare0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2123696

Orlando Matias Do PC · Okemos, MI
Active · expires Dec 28, 2026
CLIA Number23D2123696
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorOrlando O. Matias
Laboratory Phone(517) 220-4507
Laboratory LocationOrlando Matias Do PC2104 Jolly Road Suite 290, Okemos, MI 48864
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Orlando Matias Do PC's NPI number?

The NPI number for Orlando Matias Do PC is 1174707525. It was assigned to this organization in the NPPES registry on December 20, 2007.

Where is Orlando Matias Do PC located?

Orlando Matias Do PC is located at 2104 Jolly Rd Suite 290, Okemos, MI 48864. The listed phone number is (517) 220-4507.

What is Orlando Matias Do PC's specialty?

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

Is Orlando Matias Do PC enrolled in Medicare?

Yes. Orlando Matias Do PC is registered in the Medicare PECOS enrollment system.

When is Orlando Matias Do PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Orlando Matias Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Orlando Matias Do PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Orlando Matias Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2123696) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orlando Matias Do PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Orlando Matias Do PC 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.

When was this NPI record last updated?

The NPPES record for Orlando Matias Do PC was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.