Active NPI
Matthew T Johnson, MD
- Urology Physician
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 16113
- Practice address
- 17 Riverside St Ste 201
Lahey Urology at Nashua
Nashua, NH 03062-1383 - Phone
- (603) 594-0800
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125055475 | IL | |
| Urology Physician | 208800000X | 16113 | NH | Primary |
Addresses
Primary practice location
17 Riverside St Ste 201
Lahey Urology at Nashua
Nashua, NH 03062-1383
Mailing address
17 Riverside St Ste 201
Lahey Urology at Nashua
Nashua, NH 03062-1383
Phone (603) 594-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Rowland Way
Novato, CA 94945-5056
1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-5557
165 Rowland Way
Suite 201
Novato, CA 94945-5055
Phone (415) 600-6400
277 Cohasset Rd
Chico, CA 95926-2242
Phone (530) 332-5170
30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4500
34 Mark W Springs Rd
Santa Rosa, CA 95403-1436
3883 Airway Dr
Santa Rosa, CA 95403-1671
888 Lakeside VLG CMNS
Chico, CA 95928-3979
Phone (530) 332-6850
Hospital & facility affiliations
- Enloe Health
- Novato Community Hospital
- Oroville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.49 of 100
- Quality
- 60.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 16 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125055475 | IL | MD | Surgery Physician |
| 16113 | NH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Anderson Hospital | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients | |
| Memorial Hospital Association | Past | Accepting new patients |
Locations
888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800
1425 Magnolia Ave
Chico, CA 95926
Phone (530) 332-5150
1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332
277 Cohasset Rd
Chico, CA 95926
Phone (530) 332-5170
Interoperability endpoints
- mjohnson57227@enloedirect.org
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Chico, CA
- NPI 1396753281
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Community/Retail Pharmacy
- Chico, CA
- NPI 1912949538
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Cardiovascular Disease Physician
- Chico, CA
- NPI 1720099328
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1265680375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 RIVERSIDE ST STE 201",
"address_2": "LAHEY UROLOGY AT NASHUA",
"city": "NASHUA",
"state": "NH",
"postal_code": "030621383",
"telephone_number": "603-594-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 RIVERSIDE ST STE 201",
"address_2": "LAHEY UROLOGY AT NASHUA",
"city": "NASHUA",
"state": "NH",
"postal_code": "030621383",
"telephone_number": "603-594-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MATTHEW",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125055475",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NH",
"license": "16113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.