Individual provider Active NPI

Matthew Peyton Smelley, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Medford, OR
National Provider Identifier
1083856611
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD201114 Issued in OR
Practice address
520 Medical Center Dr Ste 200
Medford, OR 97504-4314
Phone
(541) 930-7222
Fax
(541) 930-7220
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 200901034 NC
Clinical Cardiac Electrophysiology Physician 207RC0001X 200901034 NC
Clinical Cardiac Electrophysiology Physician 207RC0001X MD201114 OR Primary

Addresses

Primary practice location

520 Medical Center Dr Ste 200
Medford, OR 97504-4314

Mailing address

520 Medical Center Dr Ste 200
Medford, OR 97504-4314
Phone (541) 930-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090822000152 NC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466506647
I20200915003337 OR Practitioner - Cardiac Electrophysiology 2466506647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Chicago, Pritzker School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AsanteGroup PAC ID 0547177321, 141 clinicians
Asante Three Rivers Medical Center LLCGroup PAC ID 9931197993, 98 clinicians
Southern Oregon Cardiology LLCGroup PAC ID 2264572510, 28 clinicians

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

520 SW Ramsey Ave
Suite 204
Grants Pass, OR 97527-5535
Phone (541) 930-7223

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322
  • Sutter Coast Hospital Hospital, Crescent City, CA, CCN 050417

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200901034NCMDClinical Cardiac Electrophysiology Physician
MD201114ORMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Cardiology LLC Cardiovascular Disease CurrentSince Sep 15, 2020 Accepting new patients
Asante CurrentSince Oct 28, 2020 Accepting new patients
Asante CurrentSince Oct 28, 2020 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince Oct 28, 2020 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Oct 28, 2020 Accepting new patients
MMH-Cor Enterprises IV LLC Past Accepting new patients
Asheville Cardiology Associates Cardiovascular Disease Past Accepting new patients

Locations

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

520 SW Ramsey Ave
Ste 204
Grants Pass, OR 97527
Phone (541) 479-8308

520 Medical Center Dr
Ste 200
Medford, OR 97504
Phone (541) 282-6600

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Organizations & group practices 7

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 7

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1083856611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL CENTER DR STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044314",
            "telephone_number": "541-930-7222",
            "fax_number": "541-930-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL CENTER DR STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044314",
            "telephone_number": "541-930-7222",
            "fax_number": "541-930-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELLEY",
        "first_name": "MATTHEW",
        "middle_name": "PEYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200901034",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "200901034",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OR",
            "license": "MD201114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.