MATTHEW HAROLD BAGERIS
NPI 1932903234
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Matthew Bageris's NPI number?

The NPI number for Matthew Bageris is 1932903234. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Q: What is Matthew Bageris'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 Bageris was last updated on April 3, 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 April 03, 2025PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-3400(313) 343-4056 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Matthew Harold Bageris NPPES

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

MATTHEW HAROLD BAGERIS (NPI 1932903234) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932903234

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW HAROLD BAGERIS

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address2400 Carrington Rd NeGrand Rapids, MI 49525-3090 · (616) 550-1417

Phone(313) 343-3400

Fax(313) 343-4056

Sole ProprietorYes

Enumeration DateApril 3, 2025

NPPES CertifiedApril 3, 2025

✔ NPI 1932903234 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.

22101 MOROSS RD, Detroit, MI 48236

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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 Harold Bageris 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.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)