Matthew Blegen, PA-C
Individual provider Active NPI Physician Assistant · Washington, DC
NPI 1245803584 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1245803584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA200001192 (DC)
- Practice address
- 900 23Rd St NW
Washington, DC 20037-2342 - Phone
- (202) 715-4000
- NPI assigned
- Jul 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Health Services
Practice addresses (Care Compare)
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, CA, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210927003159 | DC | Practitioner - Physician Assistant | 1850798281 | Reassigns benefits to 2 organizations |
| I20240709004898 | CA | Practitioner - Physician Assistant | 1850798281 | Reassigns benefits to 5 organizations |
| I20241212002041 | MN | Practitioner - Physician Assistant | 1850798281 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200001192 | DC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Current |
Accepting new patients | |
| District Hospital Partners LP | Current |
Accepting new patients | |
| University of California San Francisco | Current |
Accepting new patients | |
| Healtheast Medical Research Insititue | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| University of California San Francisco | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
Interoperability endpoints
- mblegen369859@direct-ucsfmedicalcenter.org
- mblegen2606302@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA200001192 | DC | Yes |
Addresses
Primary practice location
900 23Rd St NW
Washington, DC 20037-2342
Mailing address
1000 6TH St SW Apt 311
Washington, DC 20024-2669
Other providers in Washington, DC
- Chanel Blaylock
- Bleau House Care LLC
- Bledman Psychological Services, LLC
- Lindsey R Bledsoe
- Robert H Blee
- Alyssa Bleimeyer
- Deborah Blessing
- Byron Bleuze
- Michael Mark Blicher
- Dorothy Bliley
All providers in Washington, DC · Physician Assistant in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. 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.