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MATTHEW MITCHELL MD
NPI 1780444109
Student in an Organized Health Care Education/Training Program in Boston, USA

Active since March 21, 2024PECOS Enrolled
2100 DORCHESTER AVE, BOSTON, USA 02115(617) 506-2726 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Mitchell Md NPPES

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

MATTHEW MITCHELL MD (NPI 1780444109) is an individual student in an organized health care education/training program in Boston, USA, licensed in Massachusetts (3016337) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780444109
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW MITCHELLCredential: MD
Location Address2100 DORCHESTER AVEBoston, USA 02115
Mailing Address2100 Dorchester AveDorchester Center, MA 02124-5615
Phone(617) 506-2726
Sole ProprietorNo
Enumeration DateMarch 21, 2024
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1780444109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 3016337
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.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 3016337 (MA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 3016337 (MA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 3016337 (MA)
2100 DORCHESTER AVE, Boston, USA 02115
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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 Mitchell 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.

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 Mitchell's NPI number?

The NPI number for Matthew Mitchell is 1780444109. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Matthew Mitchell located?

Matthew Mitchell practices at 2100 Dorchester Ave, Boston, USA 02115. The listed phone number is (617) 506-2726.

What is Matthew Mitchell'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 Mitchell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Mitchell was last updated on March 28, 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.