Individual provider Active NPI

Matthew Vajen, DO

  • Otolaryngology Physician
  • Cincinnati, OH
National Provider Identifier
1881935294
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
34011653 Issued in OH
Practice address
4760 E Galbraith Rd Ste 108
Cincinnati, OH 45236-6704
Phone
(513) 936-0500
Fax
(513) 936-0600
NPI assigned
Mar 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 34011653 OH Primary

Addresses

Primary practice location

4760 E Galbraith Rd Ste 108
Cincinnati, OH 45236-6704

Mailing address

4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706
Phone (513) 936-0500

Other practice location 1

1900 23rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7684

Other practice location 2

1900 23rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7684

Other identifiers 1

IdentifierTypeStateIssuer
0121110MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180905000923 OH Practitioner - Otolaryngology 6507169257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

5075 Pkwy Dr
Suite 101
Mason, OH 45040-9555
Phone (513) 686-5392

Hospital & facility affiliations

  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34011653OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Sep 1, 2018 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Sep 1, 2018 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4750 E Galbraith Rd
Ste 215
Cincinnati, OH 45236
Phone (513) 891-5610

4750 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-4840

4760 E Galbraith Rd
Ste 108
Cincinnati, OH 45236
Phone (513) 791-0707

5470 Kings Island Dr
Ste 120
Mason, OH 45040
Phone (513) 791-4490

5075 Parkway Dr
Ste 101
Mason, OH 45040
Phone (513) 584-6898

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: mvajen487763@direct.bsmhealth.org

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 6

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": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1881935294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD STE 215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366706",
            "telephone_number": "513-936-0500",
            "fax_number": "513-936-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD STE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366704",
            "telephone_number": "513-936-0500",
            "fax_number": "513-936-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 23rd St",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442231404",
            "country_code": "US",
            "telephone_number": "330-971-7684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 23rd St",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442231404",
            "country_code": "US",
            "telephone_number": "330-971-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAJEN",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34011653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.