MATTHEW DALLAS STEVENSON
NPI 1295198547
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR, ALWAY BLDG., ROOM M121, STANFORD, CA 94305(650) 723-9215 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Dallas Stevenson NPPES

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

MATTHEW DALLAS STEVENSON (NPI 1295198547) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2016).

NPPES Registry Identity

NPI1295198547
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW DALLAS STEVENSON
Location Address300 PASTEUR DR, ALWAY BLDG., ROOM M121Stanford, CA 94305-2200
Mailing Address25250 Prospect Ave, Apartment #2Loma Linda, CA 92354-3041 · (916) 257-6779
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateFebruary 11, 2022
NPI 1295198547 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 PASTEUR DR, Stanford, CA 94305

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

Matthew Dallas Stevenson 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 ID7517372766
PECOS Enrollment IDI20210219002137
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.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

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 Stevenson's NPI number?

The NPI number for Matthew Stevenson is 1295198547. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Matthew Stevenson located?

Matthew Stevenson practices at 300 Pasteur Dr Alway Bldg., Room M121, Stanford, CA 94305. The listed phone number is (650) 723-9215.

What is Matthew Stevenson'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 Stevenson enrolled in Medicare?

Yes. Matthew Stevenson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matthew Stevenson was last updated on February 11, 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.