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DR. DEREK WILLIAM MATTHIES
NPI 1194268458
Student in an Organized Health Care Education/Training Program in Apo, AP

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
2200 BERGQUIST DRIVE, SUITE 1 ATTN: CREDENTIALS (SGHC), JBSA-LACKLAND, APO, AP 78236(714) 904-4463 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 26, 2022, Nov 18, 2016 (2 updates tracked since 2016).

About Dr. Derek William Matthies NPPES

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

DR. DEREK WILLIAM MATTHIES (NPI 1194268458) is an individual student in an organized health care education/training program in Apo, AP and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194268458
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DEREK WILLIAM MATTHIES
Location Address2200 BERGQUIST DRIVE, SUITE 1 ATTN: CREDENTIALS (SGHC), JBSA-LACKLANDApo, AP 78236-9908
Mailing Address11622 Hunter IvySan Antonio, TX 78253-5866 · (714) 904-4463
Phone(714) 904-4463
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 18, 2016
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1194268458 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
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.
2200 BERGQUIST DRIVE, SUITE 1 ATTN: CREDENTIALS (SGHC), Apo, AP 78236
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek William Matthies 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 ID941695340
PECOS Enrollment IDI20220322001762
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.

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 Derek Matthies's NPI number?

The NPI number for Derek Matthies is 1194268458. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Derek Matthies located?

Derek Matthies practices at 2200 Bergquist Drive, Suite 1 Attn: Credentials (sghc) Jbsa-Lackland, Apo, AP 78236. The listed phone number is (714) 904-4463.

What is Derek Matthies's specialty?

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

Is Derek Matthies enrolled in Medicare?

Yes. Derek Matthies 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.

When was this NPI record last updated?

The NPPES record for Derek Matthies was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.