Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Philip Alexander Mataverde, DO

Individual provider Neurology Physician · NPI 1992996458

Dr. Philip Alexander Mataverde, DO is a Sleep Medicine in Portage, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2007, 19 years ago. Practices with Bronson Methodist Hospital, a 719-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Missouri.

Years since qualifying
19
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI, MO
In the registry since
2007
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3200 W Centre Ave Ste 203
Portage, MI 49024-4889
Phone: (269) 349-9745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 54 Hospital Dr Ste G, Osage Beach, MO 65065-3050 — (573) 302-2715

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence 5101017269 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence L1865858 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence 2012020702 (MO)
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X · Licence 2012020702 (MO)

Record details

NPI number1992996458
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 25, 2020
Mailing address3200 W Centre Ave Ste 203, Portage, MI 49024-4889

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySLEEP MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2007 (19 years in practice)
Group practice Bronson Methodist Hospital — 719 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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