Individual provider Active NPI

Matthew A. Gritters, M.D.

  • Emergency Medicine Physician
  • Pella, IA
National Provider Identifier
1396716411
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33009 Issued in IA
Practice address
405 Monroe St
Pella, IA 50219-1189
Phone
(641) 628-3832
Fax
(641) 628-8894
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 33009 IA Primary

Addresses

Primary practice location

405 Monroe St
Pella, IA 50219-1189

Mailing address

405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-6649

Other identifiers 2

IdentifierTypeStateIssuer
5178160MedicaidIA
080171955OtherIARAILROAD MEDICAE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prhc@direct.pellahealth.kobledirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100817000392 IA Practitioner - Emergency MedicinePractitioner - Family Practice 1355393380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Dec 1, 2011 Accepting new patients
Keokuk County Health Center Current Accepting new patients
Mahaska County Hospital Current Accepting new patients
Keokuk County Health Center CurrentSince Dec 1, 2011 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Mahaska County Hospital CurrentSince Sep 1, 2023 Accepting new patients
Ottumwa ER LLC Emergency Medicine Past Accepting new patients

Locations

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

Interoperability endpoints

  • Direct secure messaging: mgritters981183@direct.unitypoint.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1396716411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191189",
            "telephone_number": "641-628-6649",
            "fax_number": "641-628-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191189",
            "telephone_number": "641-628-3832",
            "fax_number": "641-628-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRITTERS",
        "first_name": "MATTHEW",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "33009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5178160",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICAE",
            "identifier": "080171955",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prhc@direct.pellahealth.kobledirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 Monroe St",
            "city": "Pella",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502191189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

Verify at the official NPI Registry.