Individual provider Active NPI

Matthew Oliver, M.D.

  • Gynecologic Oncology Physician
  • Providence, RI
National Provider Identifier
1295028611
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD14914 Issued in RI
Practice address
101 Dudley St
Program in Women'S Oncology
Providence, RI 02905-2401
Phone
(401) 274-1122
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD14914 RI
Obstetrics & Gynecology Physician 207V00000X 278102 MA
Gynecologic Oncology Physician 207VX0201X 278102 MA
Gynecologic Oncology Physician 207VX0201X MD14914 RI Primary

Addresses

Primary practice location

101 Dudley St
Program in Women'S Oncology
Providence, RI 02905-2401

Mailing address

101 Dudley St
Program in Women'S Oncology
Providence, RI 02905-2401
Phone (401) 274-1122

Other practice location 1

373 New Boston Rd Ste 3
Fall River, MA 02720-5814
Phone (508) 235-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160901001438 RI Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 4284920125 Reassigns benefits to 1 organization
I20200323002354 MA Practitioner - Obstetrics/Gynecology 4284920125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
East Tennessee State University Quillen College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wih Faculty Physicians, IncGroup PAC ID 9234179763, 14 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

373 New Boston Rd
Suite 3
Fall River, MA 02720-5852
Phone (508) 235-3500

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14914RIMDGynecologic Oncology Physician
278102MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women & Infants Hospital of Rhode Island Past Accepting new patients
Wih Faculty Practice, Inc Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: matthew.oliver.1@633.direct.athenahealth.com
  • Direct secure messaging: mtoliver@wih.cernerdirect.carene.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1295028611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DUDLEY ST",
            "address_2": "PROGRAM IN WOMEN'S ONCOLOGY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052401",
            "telephone_number": "401-274-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUDLEY ST",
            "address_2": "PROGRAM IN WOMEN'S ONCOLOGY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052401",
            "telephone_number": "401-274-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 New Boston Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205814",
            "country_code": "US",
            "telephone_number": "508-235-3500",
            "fax_number": "508-679-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD14914",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "278102",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MA",
            "license": "278102",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "RI",
            "license": "MD14914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.