Individual provider Active NPI

Matthew S Oliva, MD

  • Cornea and External Diseases Specialist Physician
  • Medford, OR
National Provider Identifier
1750450573
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
MD27019 Issued in OR
Practice address
1333 E Barnett Rd
Medford, OR 97504
Phone
(541) 779-4711
Fax
(541) 779-0796
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00043824 WA
Cornea and External Diseases Specialist Physician 207WX0120X MD27019 OR Primary

Addresses

Primary practice location

1333 E Barnett Rd
Medford, OR 97504

Mailing address

1333 E Barnett Rd
Medford, OR 97504-8219
Phone (541) 779-4711

Other practice location 1

881 NE 7th St
Grants Pass, OR 97526-1634
Phone (541) 476-6302

Other practice location 2

221 W Stewart Ave Ste 110
Medford, OR 97501-3647
Phone (541) 776-9026

Other identifiers 1

IdentifierTypeStateIssuer
279214MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address moliva@directaddress.net

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
I20080421000465 OR Practitioner - Ophthalmology 4385697051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Eye Center IncGroup PAC ID 8325034804, 15 clinicians

Practice addresses (Care Compare)

1333 E Barnett Rd
Medford, OR 97504-8219
Phone (541) 779-4711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery476

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00043824WAMDOphthalmology Physician
MD27019ORMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Eye Center Inc Ophthalmology CurrentSince May 12, 2008 Accepting new patients
Medical Eye Center Optical Inc Past Accepting new patients
Laser & Surgical Eye Center LLC Past Accepting new patients

Locations

881 NE 7th St
Grants Pass, OR 97526
Phone (541) 476-6302

221 W Stewart Ave
Ste 110
Medford, OR 97501
Phone (541) 776-9026

1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711

Interoperability endpoints

  • Direct secure messaging: moliva@directaddress.net

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.

Hospital & facility affiliations 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1750450573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048219",
            "telephone_number": "541-779-4711",
            "fax_number": "541-618-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-779-4711",
            "fax_number": "541-779-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "881 NE 7th St",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975261634",
            "country_code": "US",
            "telephone_number": "541-476-6302",
            "fax_number": "541-779-0796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 W Stewart Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975013647",
            "country_code": "US",
            "telephone_number": "541-776-9026",
            "fax_number": "541-776-9096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00043824",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "OR",
            "license": "MD27019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279214",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moliva@directaddress.net",
            "affiliation": "N",
            "address_1": "1333 E Barnett Rd",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.