Active NPI
Matthew J. Bliven, M.D.
- Family Medicine Physician
- McMinnville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD19883
- Practice address
- 2700 SE Stratus Ave
McMinnville, OR 97128 - Phone
- (503) 435-6441
- Fax
- (503) 434-6445
- NPI assigned
- May 16, 2006
- Last updated
- Jun 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD19883 | OR | Primary |
Addresses
Primary practice location
2700 SE Stratus Ave
McMinnville, OR 97128
Mailing address
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-6441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082008 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6441
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19883 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Clinics LLC | Family Medicine | Current | Accepting new patients |
| Physicians Medical Center, P C | Current | Accepting new patients |
Locations
2435 NE Cumulus Ave
Ste A
McMinnville, OR 97128
Phone (503) 472-6161
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565
2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110
Interoperability endpoints
- matthew.bliven.1@1814.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- McMinnville, OR
- NPI 1790740520
-
dba Physicians Medical Center, Lab
- Clinical Medical Laboratory
- McMinnville, OR
- NPI 1821035841
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Willamette Valley Medical Center
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1942252168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SE STRATUS AVE",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-435-6441",
"fax_number": "503-434-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SE STRATUS AVE",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-435-6441",
"fax_number": "503-434-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIVEN",
"first_name": "MATTHEW",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD19883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082008",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.