NPIMap

Individual provider Active NPI

Matthew James Loewen, D.O.

  • Diagnostic Radiology Physician
  • Fort Bragg, NC
National Provider Identifier
1972997120
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2020-04471 Issued in NC
Practice address
2817 Reilly St
Fort Bragg, NC 28310-1000
Phone
(602) 570-2698
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OP61330164 WA
General Practice Physician 208D00000X 1618 NE
Diagnostic Radiology Physician 2085R0202X 2020-04471 NC Primary

Addresses

Primary practice location

2817 Reilly St
Fort Bragg, NC 28310-1000

Mailing address

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-0369

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220302002400 NC Practitioner - Diagnostic Radiology 3678967965 Reassigns benefits to 3 organizations
I20240705002867 AZ Practitioner - Diagnostic Radiology 3678967965 Reassigns benefits to 3 organizations
I20250711003747 SC Practitioner - Diagnostic Radiology 3678967965 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Diagnostic Radiology of Anderson PAGroup PAC ID 3173559945, 43 clinicians

Practice addresses (Care Compare)

1024 Liberty LN
Fayetteville, NC 28311-3078
Phone (253) 761-4200

20630 N 39TH Dr
Glendale, AZ 85308-4611
Phone (253) 761-4200

33 Ravencrest Dr
Anderson, SC 29621-3783
Phone (253) 761-4200

51 Cotillion CT
Georgetown, SC 29440-7052
Phone (480) 306-6949

800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1000

8921 W Thomas Rd
Suite 103
Phoenix, AZ 85037-3244

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-04471NCMDDiagnostic Radiology Physician
OP61330164WAMDDiagnostic Radiology Physician
1618NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Sep 1, 2022 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Tra-Minw P S CurrentSince Sep 1, 2022 Accepting new patients
Smi Imaging LLC CurrentSince Apr 21, 2025 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Sep 1, 2022 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Apr 21, 2025 Accepting new patients
Piedmont Pathology Associates PA Current Accepting new patients
Diagnostic Radiology of Anderson, P.a. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami
  • Direct secure messaging: mloewen846197@direct.unc.nchie.net

Organizations & group practices 8

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 47

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1972997120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 FITZSIMMONS DR",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984311000",
            "telephone_number": "253-968-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283101000",
            "telephone_number": "602-570-2698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEWEN",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP61330164",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "1618",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2020-04471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.