Individual provider Active NPI

Christian Rich Matthews, MD

  • Sports Medicine (Family Medicine) Physician
  • Woodbury, MN
National Provider Identifier
1073141842
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
70644 Issued in MN
Practice address
1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone
(651) 232-6700
NPI assigned
Mar 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 70644 MN Primary
Family Medicine Physician 207Q00000X 70644 MN

Addresses

Primary practice location

1875 Woodwinds Dr
Woodbury, MN 55125-2298

Mailing address

1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone (651) 232-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240620001111 MN Practitioner - Sports MedicinePractitioner - Family Practice 6709208655 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Boston University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

516 Delaware St SE
Minneapolis, MN 55455-0356
Phone (612) 672-7422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31038MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Aug 5, 2024 Accepting new patients
Fairview Express Care CurrentSince Aug 5, 2024 Accepting new patients
University of Minnesota Pediatric Dental Clinic CurrentSince Aug 5, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Aug 5, 2024 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Healtheast Medical Research Institute Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 5, 2024 Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 5, 2024 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

420 Delaware St SE
#381
Minneapolis, MN 55455
Phone (612) 625-0646

720 Washington Ave SE
Ste 200
Minneapolis, MN 55414
Phone (612) 730-1345

2020 E 28th St
Ste 104
Minneapolis, MN 55407
Phone (612) 333-0770

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

10961 Club West Pkwy
Ste 200
Minneapolis, MN 55449
Phone (763) 528-2922

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

5130 Fairview Blvd
Ste 101
Wyoming, MN 55092
Phone (612) 273-5400

Interoperability endpoints

  • Direct secure messaging: cmatthews501671@fairview.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1073141842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252298",
            "telephone_number": "651-232-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252298",
            "telephone_number": "651-232-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "CHRISTIAN",
        "middle_name": "RICH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MN",
            "license": "70644",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "70644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.