Individual provider Active NPI

Steven Matous, MD

  • Surgery Physician
  • Vancouver, WA
National Provider Identifier
1871534594
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00033975 Issued in WA
Practice address
505 NE 87TH Ave
Suite 301
Vancouver, WA 98664-1989
Phone
(360) 213-9955
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OR155989 OR
Surgery Physician 208600000X MD00033975 WA Primary

Addresses

Primary practice location

505 NE 87TH Ave
Suite 301
Vancouver, WA 98664-1989

Mailing address

PO Box 23200
Portland, OR 97281-3200
Phone (360) 213-9955

Other identifiers 2

IdentifierTypeStateIssuer
269547MedicaidOR
8193666MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20060404000731 WA Practitioner - General Surgery 0042250698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District No. 2, Klickitat County, WashingtonGroup PAC ID 4981592144, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OR155989ORMDSurgery Physician
MD00033975WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Surgical Specialists, PLLC Surgery CurrentSince Jan 1, 2007 Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Feb 1, 2026 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington CurrentSince Feb 1, 2026 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Feb 1, 2026 Accepting new patients
Peacehealth Past Accepting new patients
Pacific Surgical Specialists LLC Surgery PastSince May 3, 2005 Accepting new patients

Locations

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
  • Direct secure messaging: smatous23547@reboundmd.gardenplot.direct-ci.com

Organizations & group practices 6

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1871534594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972813200",
            "telephone_number": "360-213-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE",
            "address_2": "SUITE 301",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641989",
            "telephone_number": "360-213-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOUS",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "OR155989",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00033975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269547",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8193666",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.