DAVID PAUL MATICHAK MD
NPI 1437845997
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is David Matichak's NPI number?

The NPI number for David Matichak is 1437845997. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Q: What is David Matichak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Matichak was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 17, 2023PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 287-6765 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About David Paul Matichak Md NPPES

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

DAVID PAUL MATICHAK MD (NPI 1437845997) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437845997

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDAVID PAUL MATICHAKCredential: MD

Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438

Mailing Address847 Monroe Ave Rm 427Memphis, TN 38103-4907 · (901) 287-6765

Phone(901) 287-6765

Sole ProprietorNo

Enumeration DateApril 17, 2023

Last NPPES UpdateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1437845997 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.

920 MADISON AVE STE 447, Memphis, TN 38103

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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 (PECOS)

David Paul Matichak Md 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.

DR. DAVID EDWARD ZIMMERHANZEL MD

Student in an Organized Health Care Education/Training Program