Individual provider Active NPI

Matthew Thomas Owen, MD

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1760827901
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.33858 Issued in AL
Practice address
1313 13TH St S
Birmingham, AL 35205-5327
Phone
(205) 934-3411
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD.33858 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD2018-0146 NM
Orthopaedic Surgery Physician 207X00000X MD.33858 AL Primary

Addresses

Primary practice location

1313 13TH St S
Birmingham, AL 35205-5327

Mailing address

1219 Gusdorf Rd Ste a
Taos, NM 87571-6499
Phone (888) 758-0009

Other practice location 1

4715 Whitesburg Dr SE
Huntsville, AL 35802-1632
Phone (256) 881-5151

Other practice location 2

2506 Danville Rd SW Ste 202
Decatur, AL 35603-4232
Phone (256) 306-0800

Other practice location 3

22423 US Highway 72 Ste A
Athens, AL 35613-2663
Phone (256) 230-9607

Other practice location 4

44 Hughes Rd Ste 1100
Madison, AL 35758-2236
Phone (256) 464-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190814001443 AL Practitioner - Orthopedic Surgery 5294975926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed Orthopaedic SpecialistsGroup PAC ID 7214903723, 87 clinicians

Practice addresses (Care Compare)

4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 881-5151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Upper limb (arm) arthroscopy (minimally invasive joint repair)56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.33858ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists, PC Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Sportsmed Orthopaedic Specialists Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Sportsmed Orthopaedic Specialists, PC Orthopaedic Surgery Past Accepting new patients

Locations

22423 US Highway 72
Ste A
Athens, AL 35613
Phone (256) 230-9607

2506 Danville Rd SW
Ste 202
Decatur, AL 35603
Phone (256) 306-0800

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327

44 Hughes Rd
Ste 1100
Madison, AL 35758
Phone (256) 464-8200

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 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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1760827901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 GUSDORF RD STE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716499",
            "telephone_number": "888-758-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 13TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352055327",
            "telephone_number": "205-934-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4715 Whitesburg Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358021632",
            "country_code": "US",
            "telephone_number": "256-881-5151",
            "fax_number": "256-880-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2506 Danville Rd SW Ste 202",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356034232",
            "country_code": "US",
            "telephone_number": "256-306-0800",
            "fax_number": "256-880-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22423 US Highway 72 Ste A",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356132663",
            "country_code": "US",
            "telephone_number": "256-230-9607",
            "fax_number": "256-880-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Hughes Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582236",
            "country_code": "US",
            "telephone_number": "256-464-8200",
            "fax_number": "256-880-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "MD.33858",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NM",
            "license": "MD2018-0146",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.33858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.