Individual provider Active NPI

Matthew Benjamin Koger, M.D.

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1053654673
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A141952 Issued in CA
Practice address
4801 Alberta Ave
El Paso, TX 79905-2707
Phone
(915) 545-7345
Fax
(915) 545-7338
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A141952 CA Primary

Addresses

Primary practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Mailing address

721 Kern Dr
El Paso, TX 79902-2308
Phone (561) 395-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708000293 CA Practitioner - Emergency Medicine 6406148683 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ojai Emergency Physicians CorporationGroup PAC ID 3577889351, 14 clinicians
Ventura Emergency PhysiciansGroup PAC ID 7618012063, 14 clinicians

Practice addresses (Care Compare)

1306 Maricopa Hwy
Ojai, CA 93023-3131
Phone (805) 640-2260

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5051

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Community Memorial Hospital - Ojai Hospital, Ojai, CA, CCN 051334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A141952CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ojai Emergency Physicians Corporation Emergency Medicine CurrentSince Jun 15, 2017 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 28, 2020 Accepting new patients
Ventura Emergency Physicians Emergency Medicine CurrentSince Jun 15, 2017 Accepting new patients
Exer Medical Corporation CurrentSince Apr 1, 2023 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 28, 2020 Accepting new patients

Locations (25 of 27)

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002

475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377

5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883

2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070

4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355

File 50670
Los Angeles, CA 90074

8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100

13303 Riverside Dr
Sherman Oaks, CA 91423
Phone (818) 287-7409

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

18700 Ventura Blvd
Tarzana, CA 91356
Phone (747) 307-3323

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

2613 Pacific Coast Hwy
Torrance, CA 90505
Phone (424) 229-0832

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

Organizations & group practices 5

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1053654673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 KERN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022308",
            "telephone_number": "561-395-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-545-7345",
            "fax_number": "915-545-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGER",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A141952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.