Matthew Gilbert Straley, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

58469 Issued in MN

Practice address

1880 Livingston Ave Ste 102
West Saint Paul, MN 55118-3426

Phone

(651) 552-7999

Fax

(651) 552-0777

NPI assigned

May 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.straley.1@31714.direct.athenahealth.com

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.

• Dominion Health Medical Assoc.

  • Ambulatory Surgical Clinic/Center
  • South Boston, VA
  • NPI 1255771770
  Medicare reassignment NPD
• Dominion Health Medical Assoc

  • Cardiovascular Disease Physician
  • South Boston, VA
  • NPI 1356138879
  NPD
• Dominion Health Medical Assoc

  • Pediatrics Physician
  • South Boston, VA
  • NPI 1457756322
  NPD
• Mendakota Pediatrics LTD

  • Pediatrics Physician
  • West St Paul, MN
  • NPI 1497739320
  NPD (past)

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1992098214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 102",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-552-7999",
            "fax_number": "651-552-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 102",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-552-7999",
            "fax_number": "651-552-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRALEY",
        "first_name": "MATTHEW",
        "middle_name": "GILBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101256226",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "58469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Shea, RN, CNP
• Rihab Shoshan
• Annika Elizabeth Skogg, PHARMD
• Shannon Kay Stanton, PSYD, LP
• Michelle Storlie, ADT
• Erika Jean Sullivan, L.A.C.
• Tung T Tuong, LMFT
• Twin Cities Anaplastology
• Mary Elizabeth Vanalstine, LPCC
• Veatrice Hand to Heart Support Services LLC

• Pediatrics Physician in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.