Individual provider Active NPI

Matthew J. Irwin, M.D.

  • Anesthesiology Physician
  • Eau Claire, WI
National Provider Identifier
1205862364
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
51301-20 Issued in WI
Practice address
1101 W Clairemont Ave
Ste 2C
Eau Claire, WI 54701-4503
Phone
(715) 834-8721
Fax
(715) 834-3087
NPI assigned
Jun 23, 2006
Last updated
Oct 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 51301-20 WI Primary

Addresses

Primary practice location

1101 W Clairemont Ave
Ste 2C
Eau Claire, WI 54701-4503

Mailing address

1101 W Clairemont Ave
Ste 2C
Eau Claire, WI 54701-4503
Phone (715) 834-8721

Other identifiers 1

IdentifierTypeStateIssuer
1205862364MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20100818000881 WI Practitioner - Anesthesiology 8820122435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Wisconsin School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chippewa Valley Anesthesia Associates, S.C.Group PAC ID 8325451941, 28 clinicians

Practice addresses (Care Compare)

1000 Oakleaf Way
Altoona, WI 54720-2246
Phone (800) 063-5619

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Anesthesia Associates, S.C. Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Eau Claire Anesthesiologists LTD Past Accepting new patients

Locations

1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130

1101 W Clairemont Ave
Ste 2C
Eau Claire, WI 54701
Phone (715) 834-8721

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1205862364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W CLAIREMONT AVE",
            "address_2": "STE 2C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014503",
            "telephone_number": "715-834-8721",
            "fax_number": "715-834-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W CLAIREMONT AVE",
            "address_2": "STE 2C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014503",
            "telephone_number": "715-834-8721",
            "fax_number": "715-834-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "51301-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205862364",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.