Individual provider Active NPI

Matthew J Kaiser, M.D.

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1720374069
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD167414 Issued in OR
Practice address
3299 Hilyard St
Eugene, OR 97405-3721
Phone
(541) 222-8620
Fax
(541) 222-8652
NPI assigned
Jun 24, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD167414 OR Primary

Addresses

Primary practice location

3299 Hilyard St
Eugene, OR 97405-3721

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1459

Other practice location 1

104 W 5th Ave
Ste 200W
Spokane, WA 99204-4880
Phone (509) 624-2313

Other practice location 2

104 W 5th Ave
Ste 200W
Spokane, WA 99204-4880
Phone (509) 624-2313

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140716000165 OR Practitioner - Family Practice 6709019631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

3299 Hilyard St
Eugene, OR 97405-3721
Phone (541) 342-3338

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

3355 Riverbend Dr
Suite 400
Springfield, OR 97477-8800
Phone (541) 222-2402

3377 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

4010 Aerial Way
Eugene, OR 97402-9757
Phone (613) 272-4978

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD167414ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Peacehealth Medical Group CurrentSince Aug 1, 2014 Accepting new patients

Locations

3299 Hilyard St
Eugene, OR 97405
Phone (541) 222-8620

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: mkaiser62737@direct.peacehealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720374069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1459",
            "fax_number": "360-729-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 HILYARD ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053721",
            "telephone_number": "541-222-8620",
            "fax_number": "541-222-8652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 W 5th Ave",
            "address_2": "Ste 200W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992044880",
            "country_code": "US",
            "telephone_number": "509-624-2313",
            "fax_number": "509-459-0686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W 5th Ave",
            "address_2": "Ste 200W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992044880",
            "country_code": "US",
            "telephone_number": "509-624-2313",
            "fax_number": "509-459-0686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD167414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.