DR. LUCA DI MATTEO DPM NPI 1588694764

NPI Information

NPI: 1588694764
Provider Name: DR. LUCA DI MATTEO, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Address:
538 HOPMEADOW ST
SIMSBURY, CT
ZIP 06070
Phone: (860) 651-8557
Get Directions

DR. Luca Di Matteo, DPM is a foot surgery podiatrist in Simsbury, CT. DR. Luca Di Matteo, DPM NPI is 1588694764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

538 HOPMEADOW ST
SIMSBURY, CT
ZIP 06070-415
Phone: (860) 651-8557

The enumeration date for this NPI number is 7/4/2006 and was last updated on 1/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	000596	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	030000596CT01	OTHER	CONNECTICUT	ANTHEM BLUE SHIELD
2	U42876	MEDICARE UPIN	CONNECTICUT
3	480000518	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
4	004123139	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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