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MATTHEW SEVERIN MD
NPI 1922788322
Student in an Organized Health Care Education/Training Program in Winter Park, FL

Active since July 20, 2023PECOS Enrolled
133 BENMORE DR STE 201, WINTER PARK, FL 32792(407) 646-7757(407) 303-7757 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2026, Jul 20, 2023 (2 updates tracked since 2023).

About Matthew Severin Md NPPES

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

MATTHEW SEVERIN MD (NPI 1922788322) is an individual student in an organized health care education/training program in Winter Park, Florida, licensed in Florida (TRN37954) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1922788322
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW SEVERINCredential: MD
Location Address133 BENMORE DR STE 201Winter Park, FL 32792-4111
Mailing Address133 Benmore Dr Ste 201Winter Park, FL 32792-4111 · (407) 646-7757 · Fax (407) 303-7323
Phone(407) 646-7757
Fax(407) 303-7757
Sole ProprietorNo
Enumeration DateJuly 20, 2023
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1922788322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · TRN37954
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 ListedFamily MedicineTaxonomy 207Q00000X · License 2026-03878 (NC)
133 BENMORE DR STE 201, Winter Park, FL 32792
Open in Google Maps ↗

Secondary Practice Location 1

Location 11942 E 7th St Ste 200Charlotte, NC 28204-2557 · Phone (704) 384-7085 · Fax (704) 384-7089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Severin 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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Severin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC
401 mi
Urology
75 EMERSON BAY RD, SUITE 102
Carolina Shores, NC 28467
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1356705479 (910) 721-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

DR. ANDRE MEDINA-SANCHEZ MD
Family Medicine (Geriatric Medicine)
133 BENMORE DR STE 201
WINTER PARK, FL 32792
Orange County (407) 646-7757
MARY ANN KELLY BARNUM
Family Medicine
133 BENMORE DR STE 201
WINTER PARK, FL 32792
Orange County (407) 646-7469
DR. CASSY MEGAN LOUIS ARCHER MD
Family Medicine
133 BENMORE DR STE 201
WINTER PARK, FL 32792
Orange County (407) 646-7757
DR. CRYSTAL JOHNSON MD
Student in an Organized Health Care Education/Training Program
133 BENMORE DR STE 201
WINTER PARK, FL 32792
Orange County (407) 646-7757
ABDULAZIZ KHAN MD
Student in an Organized Health Care Education/Training Program
133 BENMORE DR STE 201
WINTER PARK, FL 32792
Orange County (407) 646-7469
KRISTY GARRISON MD
Student in an Organized Health Care Education/Training Program
133 BENMORE DR STE 201
WINTER PARK, FL 32792
Orange County (407) 303-6973
HARRY RAMSAMOOJ MD
General Practice
133 BENMORE DR STE 201
WINTER PARK, FL 32792
Orange County (407) 646-7070
JENNIFER FU JIANG MD
Family Medicine
133 BENMORE DR STE 201
WINTER PARK, FL 32792
Orange County (407) 646-7757

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 Severin's NPI number?

The NPI number for Matthew Severin is 1922788322. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Matthew Severin located?

Matthew Severin practices at 133 Benmore Dr Ste 201, Winter Park, FL 32792. The listed phone number is (407) 646-7757.

What is Matthew Severin'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 Severin enrolled in Medicare?

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

Which organization bills Medicare for Matthew Severin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Severin reassigns Medicare benefits to Novant Health Medical Group, LLC (Carolina Shores, NC). The 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 Matthew Severin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Severin was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.