Individual provider Active NPI

Roger John Matthews, D.O.

  • Family Medicine Physician
  • Golden, CO
National Provider Identifier
1104820570
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CDRH.0037281 Issued in CO
Practice address
112 N Rubey Dr Unit 140
Golden, CO 80403-3214
Phone
(720) 704-5835
Fax
(720) 902-3940
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CDRH.0037281 CO Primary
Family Medicine Physician 207Q00000X OP61495864 WA

Addresses

Primary practice location

112 N Rubey Dr Unit 140
Golden, CO 80403-3214

Mailing address

112 N Rubey Dr Unit 140
Golden, CO 80403-3214
Phone (720) 704-5835

Other identifiers 1

IdentifierTypeStateIssuer
16083750MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 25, 2026 through Mar 25, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 5127
Everett, WA 98206

PO Box
Suite 5127
Everett, WA 98206-5127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP61495864WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Medical Center, PC Family Medicine CurrentSince Oct 2, 2000 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Aug 18, 2024 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Aug 18, 2024 Accepting new patients

Locations

26659 Pleasant Park Rd
Conifer, CO 80433
Phone (303) 647-5300

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Organizations & group practices 3

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1104820570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N RUBEY DR UNIT 140",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804033214",
            "telephone_number": "720-704-5835",
            "fax_number": "720-902-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N RUBEY DR UNIT 140",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804033214",
            "telephone_number": "720-704-5835",
            "fax_number": "720-902-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ROGER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDRH.0037281",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61495864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16083750",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.