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DR. MICHELLE ELIZABETH MATZKO MD
NPI 1780048751
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 06, 2016PECOS Enrolled
15 FRANCIS STREET, PBB-A4, BOSTON, MA 02115(617) 732-8881 Get Directions Write a Review

NPPES record last updated: June 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michelle Elizabeth Matzko Md NPPES

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

DR. MICHELLE ELIZABETH MATZKO MD (NPI 1780048751) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1780048751
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHELLE ELIZABETH MATZKOCredential: MD
Location Address15 FRANCIS STREET, PBB-A4Boston, MA 02115-6105
Mailing Address15 Francis Street, Pbb-a4Boston, MA 02115-6105 · (617) 732-8881
Phone(617) 732-8881
Sole ProprietorNo
Enumeration DateApril 6, 2016
Last NPPES UpdateJune 29, 2019
✔ NPI 1780048751 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.
15 FRANCIS STREET, Boston, MA 02115
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Secondary Practice Location 1

Location 1505 Parnassus Ave, Rm 987San Francisco, CA 94143-2204 · Phone (415) 476-1528 · Fax (415) 502-1976

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Elizabeth Matzko 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY LOUISE PISCULLI MD
Internal Medicine (Infectious Disease)
15 FRANCIS STREET, BRIGHAM & WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (617) 732-8881
FIZZA MANZOOR
Student in an Organized Health Care Education/Training Program
15 FRANCIS STREET, PBB-A4
BOSTON, MA 02115
Suffolk County (617) 732-8881
TITILOPE O OLANIPEKUN M.D
Internal Medicine (Pulmonary Disease)
15 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (832) 951-0822
DR. ANUJ K DALAL MD
Internal Medicine
15 FRANCIS STREET, BWF HOSPITALIST SERVICE, PBB-B4-428
BOSTON, MA 02115
Suffolk County (617) 278-0055
GLEN M KIM M.D.
Internal Medicine
15 FRANCIS STREET, PBB-B-428
BOSTON, MA 02115
Suffolk County (617) 278-0055
MRS. ALICIA PETICOLAS KELLEY PA-C
Physician Assistant (Medical)
15 FRANCIS STREET, PBB-B4
BOSTON, MA 02115
Suffolk County (617) 732-8003
MR. EVAN MATTHEW HALL PA-C
Physician Assistant (Surgical)
15 FRANCIS STREET
BOSTON, MA 02115
Suffolk County (617) 732-6824

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 Michelle Matzko's NPI number?

The NPI number for Michelle Matzko is 1780048751. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Michelle Matzko located?

Michelle Matzko practices at 15 Francis Street Pbb-A4, Boston, MA 02115. The listed phone number is (617) 732-8881.

What is Michelle Matzko's specialty?

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

Is Michelle Matzko enrolled in Medicare?

Yes. Michelle Matzko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Matzko was last updated on June 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.