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

Mr. Matthew Radel

Individual provider Physician Assistant · NPI 1649621624

Mr. Matthew Radel is a Physician Assistant in Orchard Park, New York. Qualified in 2016, 10 years ago. Practices with Great Lakes Physician PC, a 67-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

500 Sterling Dr
Orchard Park, NY 14127-1573
Phone: (716) 677-2273
Fax: (716) 677-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019756-1 (NY)

Record details

NPI number1649621624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESMarch 27, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Great Lakes Physician Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Orchard Park