DR. KATHLEEN MARIE MATIC MD
NPI 1639566607
Hospitalist in Dayton, OH
About Dr. Kathleen Marie Matic Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN MARIE MATIC MD (NPI 1639566607) is an individual hospitalist provider in Dayton, Ohio, licensed in Ohio (35131305) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kathleen Marie Matic Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Matic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
- 479 clinicians in this Medicare group
Columbus, OH 43205
- Reassigned Medicare billing, Ohio enrollment
- 1,246 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DAYTON, OH 45404
DAYTON, OH 45404
DAYTON, OH 45404
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 Kathleen Matic's NPI number?
The NPI number for Kathleen Matic is 1639566607. It was assigned to this individual provider in the NPPES registry on April 17, 2015.
Where is Kathleen Matic located?
Kathleen Matic practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3000.
What is Kathleen Matic's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Kathleen Matic enrolled in Medicare?
Yes. Kathleen Matic is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Matic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Matic reassigns Medicare benefits to 2 organizations: Dayton Children's Specialty Physicians, Inc. (Dayton, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each 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 Kathleen Matic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Matic accept?
Health plans from CareSource list Kathleen Matic 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 Kathleen Matic was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dr. Kathleen Marie Matic, MD · NPI 1639566607
Hospitalist physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since April 17, 2015.
## Identity
- **NPI:** 1639566607 (Entity type: Individual)
- **Enumerated:** April 17, 2015
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 35131305 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PLZ, Dayton, OH 45404-1815
- **Phone:** (937) 641-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dayton Children's Specialty Physicians, Inc. (NPI 1225192610, Dayton, OH); Pediatric Academic Association, Inc. (NPI 1063419943, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2025
- **Other identifiers:** Medicaid 0244200 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1639566607) · Data from the CMS NPPES public registry.