Matthew W Allen, MD
Individual provider Active NPI Radiation Oncology Physician · Redding, CA
NPI 1235301714 · NPPES record last updated May 24, 2011
Key facts
- NPI
- 1235301714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- A111934 (CA)
- Practice address
- 963 Butte St
Redding, CA 96001-0828 - Phone
- (530) 245-5900
- Fax
- (530) 245-5909
- NPI assigned
- Mar 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
1700 Esplanade
Chico, CA 95926-3315
Phone (530) 691-5920
Hospital & facility affiliations
- Shasta Regional Medical Center
- Mercy Medical Center Redding
- Mercy Medical Center of Mt Shasta
- St Elizabeth Community Hospital
- Trinity Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100901000270 | CA | Practitioner - Radiation Oncology | 5092876797 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111934 | CA | MD | Radiation Oncology Physician |
| ME102606 | FL | MD | Radiation Oncology Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Chico Medical Group, Inc | Radiation Oncology | Current |
Accepting new patients |
| Shasta Regional Medical Center, LLC | Past | Accepting new patients | |
| Lakewood Ranch Medical Center | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Manatee Memorial Hospital L P | Past | Accepting new patients | |
| HCA Health Services of Florida, Inc. | 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
Ste D
Palm Desert, CA 92260
Phone (760) 368-2000
74000 Country Club Dr
Palm Desert, CA 92260
Phone (760) 340-6784
923 Dana Dr
Redding, CA 96003
Phone (530) 900-4000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/25209/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Radiation Oncology Physician | 2085R0001X | ME102606 | FL | |
| Radiation Oncology Physician | 2085R0001X | A111934 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000738600 | Medicaid | FL | |
| 3285093 | Other | CA | CIGNA |
| P00857460 | Other | CA | RAILROAD MEDICARE |
| 9973229 | Other | FL | AETNA |
| 3285093 | Other | FL | CIGNA |
| 1235301714 | Other | CA | CALIFORNIA CHILDRENS SERVICES PROGRAM |
| P304208 | Other | FL | FREEDOM HEALTH |
| P202295 | Other | FL | FREEDOM OPTIMUN |
Other providers in Redding, CA
- Stephanie Alido
- Tammy Allan
- Allen C Krohn MD Inc
- Callie Allen
- Jennifer Allen
- Traci Allen
- Tonia Darlene Allenger
- Sandra Lynn Allison
- Rita Maureen Allmeyer-Green
- Alpha Respiratory Inc
All providers in Redding, CA · Radiation Oncology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.