XAVIER AL-MATEEN - NPI 1033738505 - Student in an Organized Health Care Education/Training Program in Boise, ID

Q: What is Xavier Al-mateen's NPI number?

The NPI number for Xavier Al-mateen is 1033738505. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Xavier Al-mateen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Xavier Al-mateen was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Xavier Al-mateen NPPES

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

XAVIER AL-MATEEN (NPI 1033738505) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Wisconsin School Of Medicine (2020).

NPPES Registry Identity

NPI1033738505

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameXAVIER AL-MATEEN

Location Address6348 W EMERALD STBoise, ID 83704-8732

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 302-0900

Fax(208) 302-0955

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020

Enumeration DateApril 14, 2020

Last NPPES UpdateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1033738505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License M-17735 (ID)

6348 W EMERALD ST, Boise, ID 83704

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11959 NE Pacific StSeattle, WA 98195-0001 · Phone (206) 598-3300

Location 2325 9th AveSeattle, WA 98104-2499 · Phone (206) 744-3000

Location 31660 S Columbian WaySeattle, WA 98108-1532 · Phone (206) 762-1010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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

Xavier Al-mateen 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 ID1557784907

PECOS Enrollment IDI20240605003948

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 13

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

LAUREN ABIGAIL SMITH

Registered Nurse