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NPI · 1134448129 · NPPES-sourced

Dr. Matthew Wideroff M.D.

ActiveSurgery
NPI Number
1134448129
Type 1 · Individual
Taxonomy Code
208600000X
Contact
(386) 586-1605
License FL · ME167382
Last Updated
Enumerated
Primary practice addressFL · 32164-5982
61 Memorial Medical Pkwy Ste 3805Palm Coast, FL 32164-5982
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About this NPIWhat this record shows.

NPI 1134448129 is registered to Dr. Matthew Wideroff M.D., a Surgery practising at 61 Memorial Medical Pkwy Ste 3805 in Palm Coast, Florida. Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Matthew Wideroff M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2010.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Matthew Wideroff M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Matthew Wideroff M.D. directly at (386) 586-1605.

Frequently asked

Yes. NPI 1134448129 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (386) 586-1605.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Matthew Wideroff M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208600000X
Last updated
Enumerated
StatusActive
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