NPIMap

Individual provider Active NPI

Matthew A Stevens, DO

  • Internal Medicine Physician
  • Olmsted TWP, OH
National Provider Identifier
1700297702
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34013597 Issued in OH
Practice address
26908 Cook Rd
Olmsted TWP, OH 44138-3548
Phone
(440) 414-9700
Fax
(216) 201-5584
NPI assigned
May 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 34013597 OH Primary

Addresses

Primary practice location

26908 Cook Rd
Olmsted TWP, OH 44138-3548

Mailing address

26908 Cook Rd
Olmsted TWP, OH 44138-3548
Phone (440) 414-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthewstevens@nohomg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017003199 OH Practitioner - Internal Medicine 2365733094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34013597OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Internal Medicine CurrentSince Oct 29, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 29, 2018 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
The Metrohealth System Current Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

Interoperability endpoints

  • Direct secure messaging: mstevens37323@ehrdirect.uhhospitals.org
  • Direct secure messaging: mstevens123238@direct.metrohealth.org

Organizations & group practices 5

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 10

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1700297702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 COOK RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441383548",
            "telephone_number": "440-414-9700",
            "fax_number": "216-201-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26908 COOK RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441383548",
            "telephone_number": "440-414-9700",
            "fax_number": "216-201-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34013597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthewstevens@nohomg.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26908 Cook Rd",
            "city": "Olmsted Twp",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441383548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olmsted TWP, OH

Sources for this page

Verify at the official NPI Registry.