Active NPI
Matthew Joseph Janzen, M.D.
- Physical Medicine & Rehabilitation Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME144592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Minnesota Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 271225 | MA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuv Savage Management | Current | Accepting new patients | |
| Rejuv Medical, P.a. | Current | 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
- https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
- 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.
-
- Medical Specialty Clinic/Center
- Waite Park, MN
- NPI 1033355086
-
- Clinic/Center
- Edina, MN
- NPI 1316344153
-
dba Essentia Health Polinsky Medical Rehabilitation Center
- Rehabilitation Clinic/Center
- Duluth, MN
- NPI 1639237746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.