NPIMap

Individual provider Active NPI

Matthew Jeffrey Doherty, CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1013439215
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP134789 Issued in TX
Practice address
12221 N Mopac Expy
Austin, TX 78758-2401
Phone
(512) 901-1000
NPI assigned
Jul 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP134789 TX Primary

Addresses

Primary practice location

12221 N Mopac Expy
Austin, TX 78758-2401

Mailing address

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111-4727
Phone (856) 308-7399

Other practice location 1

8101 E Lowry Blvd Ste 120
Denver, CO 80230-7195
Phone (303) 909-4157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181001000986 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597030759 Reassigns benefits to 3 organizations
I20220303001197 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597030759 Reassigns benefits to 1 organization
I20251225000067 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597030759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians
North Platte Surgery Center Anesthesia LLCGroup PAC ID 6709969751, 20 clinicians

Practice addresses (Care Compare)

3355 Riverbend Dr
Suite 510
Springfield, OR 97477-8800
Phone (541) 868-9555

621 W Francis St
North Platte, NE 69101-0608
Phone (308) 534-8800

8101 E Lowry Blvd
Denver, CO 80230-7195
Phone (303) 344-9090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2020 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Mar 7, 2022 Accepting new patients
North Platte Surgery Center LLC Current Accepting new patients
North Platte Surgery Center Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 22, 2024 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Jan 12, 2026 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince May 30, 2025 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Mar 7, 2022 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince May 30, 2025 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

14272 E Evans Ave
Aurora, CO 80014
Phone (303) 425-2800

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175

7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

3355 Riverbend Dr
#510
Springfield, OR 97477
Phone (541) 868-9555

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1013439215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E MAPLEWOOD AVE",
            "address_2": "STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114727",
            "telephone_number": "856-308-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 E Lowry Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "303-909-4157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MATTHEW",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP134789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.