NPIMap

Individual provider Active NPI

Matthew W Allen, MD

  • Radiation Oncology Physician
  • Redding, CA
National Provider Identifier
1235301714
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A111934 Issued in CA
Practice address
963 Butte St
Redding, CA 96001-0828
Phone
(530) 245-5900
Fax
(530) 245-5909
NPI assigned
Mar 25, 2008
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X ME102606 FL
Radiation Oncology Physician 2085R0001X A111934 CA Primary

Addresses

Primary practice location

963 Butte St
Redding, CA 96001-0828

Mailing address

2234 Colonial Blvd
Managed Care Dept
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000270 CA Practitioner - Radiation Oncology 5092876797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Chico Medical Group IncGroup PAC ID 2668807785, 10 clinicians

Practice addresses (Care Compare)

1700 Esplanade
Chico, CA 95926-3315
Phone (530) 691-5920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111934CAMDRadiation Oncology Physician
ME102606FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Chico Medical Group, Inc Radiation Oncology CurrentSince May 1, 2020 Accepting new patients
Shasta Regional Medical Center, LLC Past Accepting new patients
HCA Health Services of Florida, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Lakewood Ranch Medical Center Past Accepting new patients
Manatee Memorial Hospital L P Past Accepting new patients

Locations

9139 W Thunderbird Rd
Ste 220
Peoria, AZ 85381

1700 Esplanade
Chico, CA 95926
Phone (530) 691-5920

74000 Country Club Dr
Palm Desert, CA 92260
Phone (760) 340-6784

74000 Country Club Dr
Ste D
Palm Desert, CA 92260
Phone (760) 368-2000

923 Dana Dr
Redding, CA 96003
Phone (530) 900-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25209/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 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": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1235301714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "MANAGED CARE DEPT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010828",
            "telephone_number": "530-245-5900",
            "fax_number": "530-245-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME102606",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A111934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.