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

Matthew Micco, MD

Individual provider Family Medicine Physician · NPI 1093205759

Matthew Micco, MD is a Hospitalist in Syracuse, New York. Qualified in 2018, 8 years ago. Practices with Valley Physician Services PC, a 592-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1807
Phone: (315) 448-5536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 Hospital Dr, Glen Burnie, MD 21061-5803 — (410) 787-4000

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence D92459 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence D92459 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093205759
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing address301 Prospect Ave, Syracuse, NY 13203-1807

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Valley Physician Services Pc — 592 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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