NPIMap

Individual provider Active NPI

Matthew Robert Crouthamel, MD

  • Surgery Physician
  • Spokane, WA
National Provider Identifier
1437264322
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD471575 Issued in PA
Practice address
910 W 5TH Ave Ste 800
Spokane, WA 99204-2912
Phone
(509) 755-5120
NPI assigned
Aug 20, 2006
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M15179 ID
Surgery Physician 208600000X MD00047066 WA
Surgery Physician 208600000X MD471575 PA Primary

Addresses

Primary practice location

910 W 5TH Ave Ste 800
Spokane, WA 99204-2912

Mailing address

910 W 5TH Ave Ste 800
Spokane, WA 99204-2912
Phone (509) 755-5120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcrouthamel290196@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000816 WA Practitioner - General Surgery 8527196393 Reassigns benefits to 3 organizations
Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

910 W 5TH Ave
Suite 800
Spokane, WA 99204-2912
Phone (509) 755-6760

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M15179IDMDSurgery Physician
MD471575PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Apr 10, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Valley Medical Group-Renton Surgery CurrentSince Oct 1, 2025 Accepting new patients
Multicare Health System CurrentSince Apr 10, 2022 Accepting new patients
RCCH Trios Health LLC CurrentSince Nov 1, 2021 Accepting new patients
Multicare Health System Past Accepting new patients
Multicare Health System Past Accepting new patients
Puget Sound Surgical Clinic Inc Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

4033 Talbot Rd S
Ste 530
Renton, WA 98055
Phone (425) 228-6076

910 W 5th Ave
Ste 800
Spokane, WA 99204
Phone (509) 755-5120

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mcrouthamel290196@direct.geisinger.edu
  • Direct secure messaging: mcrouthamel658859@direct.multicare.org

Organizations & group practices 8

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 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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1437264322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W 5TH AVE STE 800",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042912",
            "telephone_number": "509-755-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W 5TH AVE STE 800",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042912",
            "telephone_number": "509-755-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUTHAMEL",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M15179",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00047066",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD471575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcrouthamel290196@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "549 Fair St",
            "city": "Bloomsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178151419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.