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Deactivated NPI 1255358610 Deactivated / Inactive NPI Male Practitioner

Dr. Etsimena E Matuli , MD

Internal Medicine • Springfield, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Etsimena Matuli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 15, 2006
NPI Deactivation Date September 18, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Etsimena Matuli, MD was a registered Internal Medicine practicing in Springfield, MA. Throughout an active medical career spanning 11 years, Dr. Matuli provided care at the practice location at 354 BIRNIE AVE until profile deactivation on 2017-09-18.

Practice Location & Contact Primary Location

Practice Address

354 Birnie Ave

Springfield, MA 011071108

Telephone 4137333470
Fax 4137334298
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate
16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 226128

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Anne Jacque , RD

Dietitian, Registered

NPI 1013938471

Registered Dietitian

Dr. Karen Hoyt , MD

Family Medicine

NPI 1013978097

Doctor of Medicine (M.D.)

Rebecca Delisa , NP

Nurse Practitioner - Family

NPI 1033196530

Nurse Practitioner

Dr. Philip Gaziano , MD

Internal Medicine

NPI 1043275001

Doctor of Medicine (M.D.)

Helen Clark , NP

Nurse Practitioner - Family

NPI 1124098876

Nurse Practitioner

Dr. Rami Ashkar , MD

Internal Medicine

NPI 1134158058

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 18, 2017

Record deactivated on September 18, 2017

NPI Profile Active March 27, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 27, 2013

Registered at 354 BIRNIE AVE, SPRINGFIELD, MA 011071108 (Tel: 4137333470)

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Updated Business Mailing Address March 27, 2013

Registered at 354 BIRNIE AVE, SPRINGFIELD, MA 011071108 (Tel: 4137333470)

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Provider Name / Credentials Updated March 27, 2013

Recorded as ETSIMENA MATULI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2013

Internal Medicine (License #226128 in MA)

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Initial NPI Registration & Enumeration July 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255358610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2006
Last Update: March 27, 2013
Deactivation Date: September 18, 2017

Mailing Address

354 Birnie Ave

Springfield, MA 011071108

Phone: 4137333470

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.