MATTHEW WALTZ
NPI 1740025543
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Matthew Waltz's NPI number?

The NPI number for Matthew Waltz is 1740025543. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Q: What is Matthew Waltz'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 Matthew Waltz was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 25, 2024PECOS Enrolled

1633 N CAPITOL AVE STE 640, INDIANAPOLIS, IN 46202(317) 962-8881 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Feb 26, 2025, Jun 25, 2024 (3 updates tracked since 2024).

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About Matthew Waltz NPPES

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

MATTHEW WALTZ (NPI 1740025543) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740025543

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW WALTZ

Location Address1633 N CAPITOL AVE STE 640Indianapolis, IN 46202-1281

Mailing Address1633 N Capitol Ave Ste 640Indianapolis, IN 46202-1281 · (317) 962-8881

Phone(317) 962-8881

Sole ProprietorNo

Enumeration DateJune 25, 2024

Last NPPES UpdateApril 9, 20253 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1740025543 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.

1633 N CAPITOL AVE STE 640, Indianapolis, IN 46202

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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)

Matthew Waltz 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.

MYCHAEL SPENCER

Student in an Organized Health Care Education/Training Program