Individual provider Active NPI

Matthew Bleu Schniederjan, M.D.

  • Surgery Physician
  • Amarillo, TX
National Provider Identifier
1295945152
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N5515 Issued in TX
Practice address
1301 S Coulter St Ste 413
Amarillo, TX 79106-1763
Phone
(806) 677-7952
Fax
(806) 353-6081
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N5515 TX Primary

Addresses

Primary practice location

1301 S Coulter St Ste 413
Amarillo, TX 79106-1763

Mailing address

1301 S Coulter St Ste 413
Amarillo, TX 79106-1763
Phone (806) 677-7952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101115000997 TX Practitioner - General Surgery 1153516232 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Matthew Bleu Schniederjan MD PLLCGroup PAC ID 3678730082, 4 clinicians
Dallam-Hartley Counties Hospital DistrictGroup PAC ID 0143112805, 17 clinicians

Practice addresses (Care Compare)

1301 S Coulter St
Suite 413
Amarillo, TX 79106-1763
Phone (806) 677-7952

PO Box
Suite 2014
Dalhart, TX 79022

Hospital & facility affiliations

  • Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallam-Hartley Counties Hospital District Current Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients

Locations

320 E Texas Blvd
Dalhart, TX 79022
Phone (806) 244-3824

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

206 E 16th St
Dalhart, TX 79022
Phone (806) 244-5668

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 2

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1295945152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST STE 413",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-677-7952",
            "fax_number": "806-353-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST STE 413",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-677-7952",
            "fax_number": "806-353-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNIEDERJAN",
        "first_name": "MATTHEW",
        "middle_name": "BLEU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N5515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.