Individual provider Active NPI

Matthew Aaron Taintor, MD

  • Hospitalist Physician
  • Juneau, AK
National Provider Identifier
1174776306
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MEDS7593 Issued in AK
Practice address
1200 Salmon Creek Lane
Juneau, AK 99801
Phone
(907) 463-4012
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MEDS7593 AK
Pediatrics Physician 208000000X MEDS7593 AK
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X MEDS7593 AK Primary

Addresses

Primary practice location

1200 Salmon Creek Lane
Juneau, AK 99801

Mailing address

3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Phone (907) 463-4074

Other practice location 1

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-5171

Other identifiers 1

IdentifierTypeStateIssuer
1579297MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 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
I20120820000578 TX Practitioner - Pediatric MedicinePractitioner - Internal Medicine 4981851375 Reassigns benefits to 1 organization
I20160830000392 AK Practitioner - Pediatric MedicinePractitioner - Internal Medicine 4981851375 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Dec 5, 2025 Accepting new patients
Bartlett Regional Hospital CurrentSince Jun 1, 2016 Accepting new patients
South East Alaska Regional Health Consortium CurrentSince Jul 16, 2012 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 16, 2012 Accepting new patients
Peacehealth Internal Medicine CurrentSince May 20, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Alpine Dermatology, LLC Past Accepting new patients
Bartlett Regional Hospital Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

3225 Hospital Dr
Unit 101A
Juneau, AK 99801
Phone (907) 523-5411

1200 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 463-4031

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

3268 Hospital Dr
Ste A
Juneau, AK 99801
Phone (907) 586-2700

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Minnesota Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Alaska Regional Health Consortium 373 clinicians
Peacehealth 71 clinicians
Bartlett Regional Hospital 25 clinicians

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300

3268 Hospital Dr
Suite a
Juneau, AK 99801-7800
Phone (907) 796-8713

Hospital & facility affiliations

  • Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008
  • Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311
  • Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1174776306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DR STE 300",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017837",
            "telephone_number": "907-463-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SALMON CREEK LANE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-463-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-5171",
            "fax_number": "907-228-8335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAINTOR",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "MEDS7593",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "MEDS7593",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AK",
            "license": "MEDS7593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579297",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.