Individual provider Active NPI

Michael L Matthews, M.D.

  • Family Medicine Physician
  • Sidney, NE
National Provider Identifier
1821177726
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18889 Issued in NE
Practice address
1625 Dorwart Dr
Sidney, NE 69162-2505
Phone
(308) 254-5544
Fax
(308) 254-2672
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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 18889 NE Primary

Addresses

Primary practice location

1625 Dorwart Dr
Sidney, NE 69162-2505

Mailing address

1625 Dorwart Dr
PO Box 379
Sidney, NE 69162-2505
Phone (308) 254-5544

Other identifiers 1

IdentifierTypeStateIssuer
3934OtherNEBCBS OF NEBRASKA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20050715000279 NE Practitioner - Family Practice 0244266799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne County Hospital Association IncGroup PAC ID 1658345657, 48 clinicians

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2900

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825

610 Glover Rd
Suite 3
Sidney, NE 69162-3050
Phone (308) 254-8736

Hospital & facility affiliations

  • Northeast Plains Home Health Care LLC Home health agency, Sterling, CO, CCN 067460
  • Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18889NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Medical Foundation Past Accepting new patients
SRMC Long Term Care LLC Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.matthews.p1@direct.rwgcrhc.nextgenshare.com

Organizations & group practices 4

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1821177726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR",
            "address_2": "PO BOX 379",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "18889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "3934",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

Verify at the official NPI Registry.