Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATEO XAVIER MONTALVO CAMPANA MD
NPI 1548901275
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Mateo Montalvo Campana's NPI number?

The NPI number for Mateo Montalvo Campana is 1548901275. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Mateo Montalvo Campana'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 05, 2022PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-4600 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Jun 27, 2025, Apr 5, 2022 (3 updates tracked since 2022).

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About Mateo Xavier Montalvo Campana Md NPPES

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

MATEO XAVIER MONTALVO CAMPANA MD (NPI 1548901275) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1548901275

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATEO XAVIER MONTALVO CAMPANACredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105

Phone(215) 707-4600

Sole ProprietorYes

Enumeration DateApril 5, 2022

Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration

NPPES CertifiedOctober 13, 2026

✔ NPI 1548901275 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.

3401 N BROAD ST, Philadelphia, PA 19140

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Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-2870 · Phone (352) 273-8656

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mateo Xavier Montalvo Campana 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. JAMIE L. GARFIELD MD

Internal Medicine