DR. MATTHEW NEIL VAN DAM D.O.
NPI 1689065666
Anesthesiology in Travis Afb, CA
About Dr. Matthew Neil Van Dam D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW NEIL VAN DAM D.O. (NPI 1689065666) is an individual anesthesiology provider in Travis Afb, California, licensed in California (20A17126) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Matthew Neil Van Dam D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Van Dam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95821
- Reassigned Medicare billing, California enrollment
- 65 clinicians in this Medicare group
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
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 Van Dam's NPI number?
The NPI number for Matthew Van Dam is 1689065666. It was assigned to this individual provider in the NPPES registry on February 11, 2015.
Where is Matthew Van Dam located?
Matthew Van Dam practices at 60 Mdg/Sgcj 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-3977.
What is Matthew Van Dam's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Matthew Van Dam enrolled in Medicare?
Yes. Matthew Van Dam 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.
Which organizations bill Medicare for Matthew Van Dam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Van Dam reassigns Medicare benefits to 2 organizations: Sacsolano Anesthesia Exchange Medical Group, Inc (Sacramento, CA) and South Tahoe Anesthesia Medical Group (South Lake Tahoe, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Van Dam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Van Dam was last updated on April 11, 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.
# Dr. Matthew Neil Van Dam, D.O. · NPI 1689065666
Anesthesiology physician in Travis Afb, California. Individual provider, active in the CMS NPPES registry since February 11, 2015.
## Identity
- **NPI:** 1689065666 (Entity type: Individual)
- **Enumerated:** February 11, 2015
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 20A17126 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 60 MDG/SGCJ, 101 BODIN CIR, Travis Afb, CA 94535-1800
- **Phone:** (707) 423-3977
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sacsolano Anesthesia Exchange Medical Group, Inc (NPI 1720401284, Sacramento, CA); South Tahoe Anesthesia Medical Group (NPI 1962513770, South Lake Tahoe, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Arizona College Of Osteopathic Medicine Mid Western University, class of 2015
## Record status
- **NPPES last updated:** April 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689065666) · Data from the CMS NPPES public registry.