DR. MATTHEW J. RAIDER M.D. NPI 1073562674

NPI Information

  • NPI: 1073562674
  • Provider Name: DR. MATTHEW J. RAIDER, M.D.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 645 SAYBROOK RD
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (860) 767-4024

Map and Directions

Get Directions

NPI Details

DR. Matthew J. Raider, M.D. is a geriatric medicine family medicine in Middletown, CT with 47 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Matthew J. Raider, M.D. NPI is 1073562674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1979

The provider's business location address is:

645 SAYBROOK RD
MIDDLETOWN, CT
ZIP 06457-746
Phone: (860) 767-4024
Fax: (860) 344-9906

The NPI 1073562674 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.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Nursing facility annual assessment, typically 30 minutes (HCPCS:99318)

The enumeration date for this NPI number is 5/9/2006 and was last updated on 1/6/2017.

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
1207Q00000XFamily Medicine22948CONNECTICUTNo
2207QG0300XFamily MedicineGeriatric Medicine22948CONNECTICUTYes

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
1380000186MEDICARE PIN
2B38569MEDICARE UPIN
3D400001741MEDICARE PIN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.