DR. MATTHEW JAMES ROOSEVELT M.D.
NPI 1003142985
Internal Medicine in San Diego, CA

Q: What is Matthew Roosevelt's NPI number?

The NPI number for Matthew Roosevelt is 1003142985. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Q: What is Matthew Roosevelt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Roosevelt was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2009PECOS EnrolledAccepts Medicare Assignment

4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE, SAN DIEGO, CA 92120(619) 952-5091 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2021, Aug 15, 2016 (2 updates tracked since 2016).

On this page

About Dr. Matthew James Roosevelt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW JAMES ROOSEVELT M.D. (NPI 1003142985) is an individual internal medicine provider in San Diego, California, licensed in California (A114981) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003142985

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MATTHEW JAMES ROOSEVELTCredential: M.D.

Location Address4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINESan Diego, CA 92120-2507

Mailing Address4746 Zion Ave., Department Of Hospital MedicineSan Diego, CA 92120-0000 · (619) 952-5091

Phone(619) 952-5091

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 27, 2009

Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration

NPPES CertifiedNovember 8, 2021

✔ NPI 1003142985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A114981

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4647 ZION AVE, San Diego, CA 92120

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew James Roosevelt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446413033

PECOS Enrollment IDI20120517000508

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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