Individual provider Active NPI

Matthew Coyne, MD

  • Internal Medicine Physician
  • Ephrata, WA
National Provider Identifier
1659955474
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD61561462 Issued in WA
Practice address
200 Nat Washington Way
Ephrata, WA 98823-1997
Phone
(509) 754-4631
NPI assigned
May 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61561462 WA Primary

Addresses

Primary practice location

200 Nat Washington Way
Ephrata, WA 98823-1997

Mailing address

2408 33Rd St
Anacortes, WA 98221-2633
Phone (425) 263-1271

Other practice location 1

110 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (303) 390-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241211001983 WA Practitioner - Internal Medicine 2466854286 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians

Practice addresses (Care Compare)

110 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-3300

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

Hospital & facility affiliations

  • Lake Chelan Community Hospital Hospital, Chelan, WA, CCN 501334
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037
  • Lake Chelan Community Hospital Nursing home, CCN 50Z334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61561462WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Mar 10, 2025 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
The Polyclinic PLLC Internal Medicine Current Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Mar 10, 2025 Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Mar 10, 2025 Accepting new patients
Providence Health & Services - Washington Internal Medicine CurrentSince Mar 10, 2025 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Jan 1, 2025 Accepting new patients
The Polyclinic PLLC Internal Medicine CurrentSince Apr 12, 2025 Accepting new patients
The Polyclinic CurrentSince Apr 12, 2025 Accepting new patients
Chelan County Public Hospital District No 2 Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

1145 Broadway
Seattle, WA 98122

1229 Madison St
Ste 1600
Seattle, WA 98104
Phone (206) 860-4541

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1659955474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 33RD ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212633",
            "telephone_number": "425-263-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NAT WASHINGTON WAY",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231997",
            "telephone_number": "509-754-4631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Apple Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988168810",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYNE",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61561462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, WA

Sources for this page

Verify at the official NPI Registry.