Individual provider Active NPI

Matthew Oliver

  • Certified Registered Nurse Anesthetist
  • Winchester, MA
National Provider Identifier
1609434521
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN280694 Issued in MA
Practice address
41 Highland Ave
Winchester, MA 01890-1446
Phone
(781) 729-9000
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN280694 MA Primary

Addresses

Primary practice location

41 Highland Ave
Winchester, MA 01890-1446

Mailing address

41 Mall Rd
Burlington, MA 01805-0001

Other practice location 1

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717000188 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254666068 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icon Anesthesia Services of New England LLCGroup PAC ID 2668732041, 21 clinicians
Dha Endoscopy LLCGroup PAC ID 4082614979, 19 clinicians

Practice addresses (Care Compare)

900 Cummings Ctr
Suite 122U
Beverly, MA 01915-6196
Phone (978) 922-4670

91 Montvale Ave
Suite 103
Stoneham, MA 02180-3649
Phone (781) 835-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN280694MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Mar 2, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Mar 2, 2020 Accepting new patients
Winchester Anesthesia Associates, Inc CurrentSince Jul 1, 2019 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Dha Endoscopy LLC CurrentSince Dec 16, 2023 Accepting new patients
Beverly Anesthesia Associates, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Mar 20, 2024 Accepting new patients
Dha Endoscopy LLC Past Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

900 Cummings Ctr
Ste 122U
Beverly, MA 01915
Phone (978) 922-4670

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

480 Maple St
Ste C233A
Danvers, MA 01923
Phone (978) 304-8690

70 East St
Methuen, MA 01844
Phone (978) 682-1906

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1609434521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HIGHLAND AVE",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901446",
            "telephone_number": "781-729-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Herrick St",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019151790",
            "country_code": "US",
            "telephone_number": "978-816-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN280694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.