NPIMap

Individual provider Active NPI

Andrew Matthys

  • Pulmonary Disease Physician
  • Sacramento, CA
National Provider Identifier
1790103877
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A140863 Issued in CA
Practice address
4150 V St Ste 3400
Sacramento, CA 95817
Phone
(916) 734-3564
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A140863 CA Primary

Addresses

Primary practice location

4150 V St Ste 3400
Sacramento, CA 95817

Mailing address

4150 V St Ste 3400
Sacramento, CA 95817-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170726004178 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8224321229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diablo Pulmonary Medical Group IncGroup PAC ID 0042200362, 8 clinicians

Practice addresses (Care Compare)

2299 Bacon St
Suite 2
Concord, CA 94520-2045
Phone (925) 676-2942

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140863CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service CurrentSince Aug 9, 2021 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Diablo Pulmonary Medical Group, Inc Pulmonary Disease CurrentSince Aug 30, 2021 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
University of California San Francisco Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2299 Bacon St
Ste 2
Concord, CA 94520
Phone (925) 676-2942

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amatthys145062@ehr.johnmuirhealth.com

Organizations & group practices 8

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 3

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1790103877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 V ST STE 3400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 V ST STE 3400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-734-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHYS",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A140863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.