Active NPI
Michael Matthews
- Family Medicine Physician
- Grangeville, ID
National Provider Identifier
1609255116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M14145
- Practice address
- 607 W Main St
Grangeville, ID 83530-1345 - Phone
- (208) 983-1700
- Fax
- (208) 983-4665
- NPI assigned
- May 29, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M14145 | ID | Primary |
Addresses
Primary practice location
607 W Main St
Grangeville, ID 83530-1345
Mailing address
607 W Main St
Grangeville, ID 83530-1345
Phone (208) 983-1700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.matthews@syringahospital.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 SE Church St
Sublimity, OR 97385-9714
Phone (503) 769-2259
1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175
Hospital & facility affiliations
- First Call Home Health Agency, LLC
- Santiam Hospital & Clinics
- Salem Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M14145 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Current | Accepting new patients |
Locations
1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546
1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175
Interoperability endpoints
- michael.matthews@syringahospital.cernerdirect.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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
-
- Rural Health Clinic/Center
- Sublimity, OR
- NPI 1518354547
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stayton, OR
- NPI 1801787171
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salem, OR
- NPI 1740260801
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1609255116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 W MAIN ST",
"city": "GRANGEVILLE",
"state": "ID",
"postal_code": "835301345",
"telephone_number": "208-983-1700",
"fax_number": "208-983-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 W MAIN ST",
"city": "GRANGEVILLE",
"state": "ID",
"postal_code": "835301345",
"telephone_number": "208-983-1700",
"fax_number": "208-983-4665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-29",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M14145",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.matthews@syringahospital.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Syringa Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "607 W Main St",
"city": "Grangeville",
"state": "ID",
"country_code": "US",
"postal_code": "835301345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grangeville, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.