Individual provider Active NPI

Matthew Joseph Janzen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1609226810
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME144592 Issued in FL
Practice address
7955 Spyglass Hill Rd Ste a
Melbourne, FL 32940-8249
Phone
(321) 751-3389
Fax
(321) 242-2545
NPI assigned
Jun 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME144592 FL Primary
Physical Medicine & Rehabilitation Physician 208100000X 271225 MA
Physical Medicine & Rehabilitation Physician 208100000X R-10666 IA

Addresses

Primary practice location

7955 Spyglass Hill Rd Ste a
Melbourne, FL 32940-8249

Mailing address

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200727000774 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1850683251
I20210617002832 MN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1850683251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Minnesota Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Polinsky Medical Rehabilitation CenterGroup PAC ID 0941377360, 369 clinicians
Rejuv Medical PAGroup PAC ID 2264598077, 15 clinicians

Practice addresses (Care Compare)

1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360

901 3Rd St N
Waite Park, MN 56387-1964
Phone (320) 217-8480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271225MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuv Savage Management CurrentSince Sep 2, 2025 Accepting new patients
Rejuv Medical, P.a. CurrentSince Aug 1, 2021 Accepting new patients

Locations

7373 France Ave S
Ste 606
Minneapolis, MN 55435
Phone (612) 207-7463

210 3rd St N
Waite Park, MN 56387
Phone (320) 281-5100

901 3rd St N
Waite Park, MN 56387
Phone (320) 217-8480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.janzen.1@32275.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1609226810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5631",
            "fax_number": "617-636-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 SPYGLASS HILL RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408249",
            "telephone_number": "321-751-3389",
            "fax_number": "321-242-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANZEN",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-18",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME144592",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "271225",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "R-10666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.