Individual provider Active NPI

Matthew Neil Powell, D.O.

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1154316222
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013736 Issued in MI
Practice address
5933 Grand Haven Rd
Muskegon, MI 49441-6011
Phone
(231) 799-3300
Fax
(231) 799-3322
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013736 MI Primary

Addresses

Primary practice location

5933 Grand Haven Rd
Muskegon, MI 49441-6011

Mailing address

5933 Grand Haven Rd
Muskegon, MI 49441-6011
Phone (231) 799-3300

Other identifiers 1

IdentifierTypeStateIssuer
4309931MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040713001320 MI Practitioner - Family Practice 9537147665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5933 Grand Haven Rd
Norton Shores, MI 49441-6011
Phone (231) 799-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Family Medicine PC Family Medicine CurrentSince Apr 5, 2001 Accepting new patients
Mercy Urgent Care Family Medicine Past Accepting new patients

Locations

5933 Grand Haven Rd
Norton Shores, MI 49441
Phone (231) 780-3300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJCCA

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1154316222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 GRAND HAVEN RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494416011",
            "telephone_number": "231-799-3300",
            "fax_number": "231-799-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 GRAND HAVEN RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494416011",
            "telephone_number": "231-799-3300",
            "fax_number": "231-799-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MATTHEW",
        "middle_name": "NEIL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4309931",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.