Active NPI
Brian John Mateja, D.O.
- Family Medicine Physician
- Rogue River, OR
National Provider Identifier
1063417772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO25705
- Practice address
- 509 E Main St
Rogue River, OR 97537-9674 - Phone
- (541) 582-0505
- Fax
- (541) 582-0778
- NPI assigned
- Jun 17, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO25705 | OR | Primary |
Addresses
Primary practice location
509 E Main St
Rogue River, OR 97537-9674
Mailing address
509 E Main St
Rogue River, OR 97537-9674
Phone (541) 582-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Michigan Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
509 E Main St
Rogue River, OR 97537-9674
Phone (541) 582-0505
Hospital & facility affiliations
- Riverside Home Health Care
- Accentcare Home Health of Rogue Valley, LLC
- Assured Home Health
- Asante Three Rivers Medical Center
- Asante Rogue Regional Medical Center
- Providence Medford Medical Center
- Asante Ashland Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 40 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 65 |
| Removal or shaving of skin growth | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO25705 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medi Horizons Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- brianmateja@rrfpc.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Rogue River, OR
- NPI 1477613529
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
dba Providence Medford Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
-
dba Riverside Home Health Care
- Home Health Agency
- Grants Pass, OR
- NPI 1841805223
-
dba Assured Home Health
- Home Health Agency
- Grants Pass, OR
- NPI 1396977393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063417772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 E MAIN ST",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975379674",
"telephone_number": "541-582-0505",
"fax_number": "541-582-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 E MAIN ST",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975379674",
"telephone_number": "541-582-0505",
"fax_number": "541-582-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEJA",
"first_name": "BRIAN",
"middle_name": "JOHN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO25705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogue River, OR
- La Clinica del Valle Family Healthcare Center Inc.
- Laurie L Callahan, FNP, Inc
- Lotus Home Healthcare LLC
- Lwafp, PC Inc (Rogue River Health Clinic)
- Edward J Marchi, DDS
- Teresa Marie McConnell, L.M.T
- Martin Dale McIntosh, D.C.
- Susan L McKewen, PT
- Heather Calleen Merlo-Grifantini, MD
- Mindful Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.