Active NPI
Matthew Scott Reaven, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- U5213
- Practice address
- 221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312 - Phone
- (214) 960-5681
- Fax
- (214) 960-5681
- NPI assigned
- Apr 7, 2015
- Last updated
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 80370 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 80370 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | U5213 | TX | Primary |
Addresses
Primary practice location
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Mailing address
675 N Highland Ave NE Apt 201
Atlanta, GA 30306-4654
Phone (330) 327-7840
Other practice location 1
303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (330) 327-7840
Other practice location 2
5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764
Phone (678) 843-7001
Other practice location 3
902 N 7th St
Cordele, GA 31015-3234
Phone (229) 276-3100
Other practice location 4
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80370 | GA | MD | Critical Care Medicine (Internal Medicine) Physician |
| U5213 | TX | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Pulmonary & Critical Care PA | Critical Care Medicine | Current | Accepting new patients |
| Premier Breast Imaging LLC | Current | Accepting new patients | |
| Columbia Medical Center of Plano Subsidiary LP | Past | Accepting new patients |
Locations
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
Interoperability endpoints
- mreaven51532@direct.emory.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Exceed Medical P.A.
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
-
dba The Painless Mammogram
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1356165849
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- Long Term Care Hospital
- Richardson, TX
- NPI 1710867775
-
dba Methodist Hospital for Surgery
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
-
- General Acute Care Hospital
- Carrollton, TX
- NPI 1184262800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1871989731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 N HIGHLAND AVE NE APT 201",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064654",
"telephone_number": "330-327-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W COLORADO BLVD STE 525",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082312",
"telephone_number": "214-960-5681",
"fax_number": "214-960-5681"
}
],
"practiceLocations": [
{
"address_1": "303 Parkway Dr NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303121212",
"country_code": "US",
"telephone_number": "330-327-7840",
"fax_number": "704-355-7047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5665 Peachtree Dunwoody Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421764",
"country_code": "US",
"telephone_number": "678-843-7001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "902 N 7th St",
"address_purpose": "LOCATION",
"city": "Cordele",
"state": "GA",
"postal_code": "310153234",
"country_code": "US",
"telephone_number": "229-276-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303033031",
"country_code": "US",
"telephone_number": "404-616-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REAVEN",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "80370",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "80370",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "U5213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.