Active NPI
Matthew Gordon Allen, M.D.
- Family Medicine Physician
- Mora, MN
National Provider Identifier
1306064423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50751
- Practice address
- 331 South Highway 65
Mora, MN 55051 - Phone
- (320) 679-1313
- Fax
- (651) 241-1116
- NPI assigned
- Apr 23, 2007
- Last updated
- Nov 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50751 | MN | Primary |
Addresses
Primary practice location
331 South Highway 65
Mora, MN 55051
Mailing address
301 South Highway 65
Mora, MN 55051
Phone (320) 679-1313
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mallen95899@excellian.direct.allina.com | Direct | Welia Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Hwy 65 S
Mora, MN 55051-1899
Phone (320) 679-1212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welia Health | Current | Accepting new patients | |
| Welia Health | Current | Accepting new patients |
Locations
620 Sandy Ln
Hinckley, MN 55037
Phone (320) 384-6189
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
331 Highway 65 S
Mora, MN 55051
Phone (320) 679-1212
1425 Main St N
Pine City, MN 55063
Phone (320) 322-5141
Interoperability endpoints
- mallen95899@excellian.direct.allina.com
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Mora, MN
- NPI 1528031390
-
- Critical Access Hospital Clinic/Center
- Mora, MN
- NPI 1972811362
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Buffalo, MN
- NPI 1063420198
-
dba Allina Health Home Health
- Home Health Agency
- Minneapolis, MN
- NPI 1316985039
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Oakdale, MN
- NPI 1508018185
-
- Critical Access Hospital
- Mora, MN
- NPI 1528031390
-
- Critical Access Hospital Clinic/Center
- Mora, MN
- NPI 1972811362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1306064423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SOUTH HIGHWAY 65",
"city": "MORA",
"state": "MN",
"postal_code": "55051",
"telephone_number": "320-679-1313",
"fax_number": "320-679-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 SOUTH HIGHWAY 65",
"city": "MORA",
"state": "MN",
"postal_code": "55051",
"telephone_number": "320-679-1313",
"fax_number": "651-241-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "MATTHEW",
"middle_name": "GORDON",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "50751",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mallen95899@excellian.direct.allina.com",
"affiliation": "Y",
"affiliationName": "Welia Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "301 Highway 65 S",
"city": "Mora",
"state": "MN",
"country_code": "US",
"postal_code": "550511899",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mora, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.