STEPHEN J MATTICHAK MD NPI 1013930189

NPI Information

  • NPI: 1013930189
  • Provider Name: STEPHEN J MATTICHAK, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2660 W SUGNET RD
    MIDLAND, MI
    ZIP 48640
  • Phone: (989) 832-0900

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NPI Details

Stephen J Mattichak, MD is a cardiovascular disease internal medicine in Midland, MI with 29 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Stephen J Mattichak, MD NPI is 1013930189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

2660 W SUGNET RD
MIDLAND, MI
ZIP 48640-647
Phone: (989) 832-0900
Fax: (989) 633-0349

The NPI 1013930189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Balloon dilation of single coronary artery or branch (HCPCS:92920)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93456)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/26/2006 and was last updated on 4/4/2023.

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
1207RC0000XInternal MedicineCardiovascular DiseaseDR.0059344COLORADONo
2207RC0000XInternal MedicineCardiovascular Disease35.132423OHIONo
3207RI0011XInternal MedicineInterventional CardiologyDR.0059344COLORADONo
4207RI0011XInternal MedicineInterventional Cardiology35.132423OHIONo
5207RC0000XInternal MedicineCardiovascular Disease4301079048MICHIGANYes

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
10258031MEDICAIDOHIO
2500778985MEDICAIDOREGON
34839590MEDICAIDMICHIGAN

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: 11/21/2025

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