Provider Demographics
NPI:1174677462
Name:PIPELING, MATTHEW ROBERT (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:ROBERT
Last Name:PIPELING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 TRENT DR HANES HOUSE RM 122; DUMC 102352
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3236
Mailing Address - Country:US
Mailing Address - Phone:919-684-6140
Mailing Address - Fax:
Practice Address - Street 1:330 TRENT DR HANES HOUSE RM 122; DUMC 102352
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3236
Practice Address - Country:US
Practice Address - Phone:919-684-6140
Practice Address - Fax:919-684-3067
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0066760207RP1001X
NC2018-01166207RP1001X
PAMD444194207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD415745100Medicaid
MD133734YRJMedicare PIN
MD133734YVBMedicare PIN