Derek Mattimoe, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: February 7, 2006

Quick Facts

NPI Number
1164494613
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(631) 751-3322
StateNY

NPI Validation Status: Verified

Valid 10-digit NPI number (1164494613)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (February 7, 2006)
Data source: CMS NPPES

Provider Overview

DEREK MATTIMOE, MD is a Family Medicine provider based in Stony Brook, NY who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1164494613
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateFebruary 7, 2006

Practice Location

CityStony Brook
StateNY
ZIP Code11790-2555
Phone(631) 751-3322

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateNY

Mailing Address

CityStony Brook
StateNY
ZIP Code11790-2555
Phone(631) 751-3322
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1164494613 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1164494613for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1164494613 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Derek Mattimoe's NPI number?
Derek Mattimoe's NPI number is 1164494613, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Derek Mattimoe's NPI currently active?
Yes, Derek Mattimoe's NPI status is Active as of the latest CMS NPPES database updates.
What does Derek Mattimoe specialize in?
Derek Mattimoe specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Derek Mattimoe practice?
Derek Mattimoe practices in Stony Brook, NY 11790-2555.
When was Derek Mattimoe's NPI issued?
Derek Mattimoe's NPI was issued on February 7, 2006.
What is Derek Mattimoe's provider type?
Derek Mattimoe is registered as an Individual Provider under CMS NPI Type 1.