Active NPI
Roger John Matthews, D.O.
- Family Medicine Physician
- Golden, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CDRH.0037281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16083750 | Medicaid | CO |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OP61495864 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conifer Medical Center, PC | Family Medicine | Current | Accepting new patients |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| Optum Care Washington PLLC | Family Medicine | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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; Opt Out Affidavits.
- 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.