Matthew E Ulven, M.D.
Individual provider Active NPI Family Medicine Physician · Traer, IA
NPI 1295732295 · NPPES record last updated Feb 13, 2017
Key facts
- NPI
- 1295732295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 31768 (IA)
- Practice address
- 200 Walnut St
Traer, IA 50675-1142 - Phone
- (319) 272-3020
- Fax
- (319) 478-2933
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Current Care PA
Practice addresses (Care Compare)
2455 N 124TH St
Brookfield, WI 53005-4630
Phone (262) 782-9326
Hospital & facility affiliations
- Sunrise Hill Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20221024002569 | WI | Practitioner - Family Practice | 4284673757 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31768 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current |
Accepting new patients | |
| American Current Care P.a. | Current |
Accepting new patients | |
| American Current Care PA | Current | Accepting new patients |
Locations
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326
358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888
215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31768 | IA | Yes |
Addresses
Primary practice location
200 Walnut St
Traer, IA 50675-1142
Mailing address
200 Walnut St
Traer, IA 50675-1142
Phone (319) 272-3020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1986935 | Medicaid | IA | |
| 7197356 | Other | AAFP ID# |
Other providers in Traer, IA
- Redhawk Physical Therapy LLC
- Jimmy J Smith
- Traer Chiropractic
- Traer Nursing Care Center, Inc.
- Traer Nursing Care Center, Inc.
- Wicks Chiropractic, P.C.
- Thomas Jay Wicks
All providers in Traer, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2017. 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.