1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MATTHEW CAMACHO
NPI 1467204065
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 05, 2024PECOS Enrolled
20 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163(901) 448-5814 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2024, Apr 5, 2024 (2 updates tracked since 2024).

About Matthew Camacho NPPES

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

MATTHEW CAMACHO (NPI 1467204065) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467204065
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW CAMACHO
Location Address20 MADISON AVENUE SUITE 447Memphis, TN 38163-0001
Mailing Address920 Madison Ave Ste 447Memphis, TN 38103-3438 · (901) 448-5814
Phone(901) 448-5814
Sole ProprietorYes
Enumeration DateApril 5, 2024
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1467204065 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.
20 MADISON AVENUE SUITE 447, Memphis, TN 38163
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Camacho 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.

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 Camacho's NPI number?

The NPI number for Matthew Camacho is 1467204065. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Matthew Camacho located?

Matthew Camacho practices at 20 Madison Avenue Suite 447, Memphis, TN 38163. The listed phone number is (901) 448-5814.

What is Matthew Camacho's specialty?

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

Is Matthew Camacho enrolled in Medicare?

Yes. Matthew Camacho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Camacho was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.