MATTHEW JAMES DELLEN MD
NPI 1013641406
Student in an Organized Health Care Education/Training Program in Fort Gordon, GA

Active since July 12, 2022PECOS Enrolled
300 E HOSPITAL RD, FORT GORDON, GA 30905(706) 787-5811 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew James Dellen Md NPPES

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

MATTHEW JAMES DELLEN MD (NPI 1013641406) is an individual student in an organized health care education/training program in Fort Gordon, Georgia and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013641406
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW JAMES DELLENCredential: MD
Location Address300 E HOSPITAL RDFort Gordon, GA 30905
Mailing Address202 Williamsburg Rd Apt 1104Hephzibah, GA 30815-6574 · (463) 206-9440
Sole ProprietorNo
Enumeration DateJuly 12, 2022
NPPES CertifiedJune 30, 2022
NPI 1013641406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 E HOSPITAL RD, Fort Gordon, GA 30905

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew James Dellen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Physician Assistant (Medical)
300 E HOSPITAL RD
FT. EISENHOWER, GA 30905
Pediatrics
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Internal Medicine
300 E HOSPITAL RD
FORT GORDON, GA 30905
Dentist
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Otolaryngology
300 E HOSPITAL RD
FT. GORDON, GA 30905
General Practice
300 E HOSPITAL RD
FORT GORDON, GA 30905
Emergency Medicine
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Nurse Practitioner (Family)
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Dellen's NPI number?

The NPI number for Matthew Dellen is 1013641406. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Matthew Dellen located?

Matthew Dellen practices at 300 E Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (706) 787-5811.

What is Matthew Dellen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Dellen enrolled in Medicare?

Yes. Matthew Dellen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Dellen was last updated on July 12, 2022. 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.