Organization Active NPI

Ritual Medical LLC

  • Family Medicine Physician
  • Bend, OR
National Provider Identifier
1578283008
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RITUAL MEDICAL LLC
Practice address
711 NE Irving Ave
Bend, OR 97701-4738
Phone
(541) 255-1530
Fax
(541) 219-5356
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Dr. Matthew Travis Mullane, MD MPHNPI 1720408479
Title
Ceo, Owner
Phone
(541) 255-1530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X

Addresses

Primary practice location

711 NE Irving Ave
Bend, OR 97701-4738

Mailing address

62472 Quail Ridge Rd
Bend, OR 97701-9553
Phone (541) 255-1530

Other practice location 1

62472 Quail Ridge Rd
Bend, OR 97701-9553
Phone (541) 255-1530

Other names 2

  • Peak Into Resilience Doing business as
  • Ritual Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230220002124 OR Part B Supplier - Clinic/Group Practice 0648642652 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1578283008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62472 QUAIL RIDGE RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019553",
            "telephone_number": "541-255-1530",
            "fax_number": "833-764-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NE IRVING AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014738",
            "telephone_number": "541-255-1530",
            "fax_number": "541-219-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62472 Quail Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977019553",
            "country_code": "US",
            "telephone_number": "541-255-1530",
            "fax_number": "541-219-5356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RITUAL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "MULLANE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "541-255-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Into Resilience",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ritual Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ritual Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.