Individual provider Active NPI

Matthew E Ulven, M.D.

  • Family Medicine Physician
  • Traer, IA
National Provider Identifier
1295732295
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31768 Issued in IA
Practice address
200 Walnut St
Traer, IA 50675-1142
Phone
(319) 272-3020
Fax
(319) 478-2933
NPI assigned
Jul 5, 2005
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31768 IA Primary

Addresses

Primary practice location

200 Walnut St
Traer, IA 50675-1142

Mailing address

200 Walnut St
Traer, IA 50675-1142
Phone (319) 272-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221024002569 WI Practitioner - Family Practice 4284673757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

2455 N 124TH St
Brookfield, WI 53005-4630
Phone (262) 782-9326

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31768IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Nov 7, 2022 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care P.a. Current Accepting new patients
American Current Care PA CurrentSince Nov 7, 2022 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1295732295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WALNUT ST",
            "city": "TRAER",
            "state": "IA",
            "postal_code": "506751142",
            "telephone_number": "319-272-3020",
            "fax_number": "319-478-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WALNUT ST",
            "city": "TRAER",
            "state": "IA",
            "postal_code": "506751142",
            "telephone_number": "319-272-3020",
            "fax_number": "319-478-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULVEN",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traer, IA

Sources for this page

Verify at the official NPI Registry.