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

Michael S Mattia, MD

Individual provider Family Medicine Physician · NPI 1619536331

Michael S Mattia, MD is a Family Practice in Kalamazoo, Michigan. Qualified in 2018, 8 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Minnesota.

Years since qualifying
8
Licensed in
MI, MN
In the registry since
2019
Specialties on file
2
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

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone: (269) 349-2641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 72256 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4351045469 (MI)

Record details

NPI number1619536331
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022
Mailing address400 E 3rd St, Duluth, MN 55805-1951

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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