MATTHEW REVEAL
NPI 1952169328
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 11, 2024PECOS Enrolled

1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Matthew Reveal NPPES

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

MATTHEW REVEAL (NPI 1952169328) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952169328

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW REVEAL

Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address1402 S Grand BlvdSaint Louis, MO 63104-1004

Phone(314) 257-8000

Sole ProprietorNo

Enumeration DateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1952169328 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.

1201 S GRAND BLVD, Saint Louis, MO 63104

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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 Reveal 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.