DR. MATTHEW JARED DIVERONICA M.D.
NPI 1710286901
Hospitalist in Portland, OR

Q: What is Matthew Diveronica's NPI number?

The NPI number for Matthew Diveronica is 1710286901. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Q: What is Matthew Diveronica's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since March 28, 2011PECOS Enrolled

3181 SW SAM JACKSON PARK RD # L579, PORTLAND, OR 97239(503) 220-8262 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Matthew Jared Diveronica M.d. NPPES

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

DR. MATTHEW JARED DIVERONICA M.D. (NPI 1710286901) is an individual hospitalist provider in Portland, Oregon, licensed in Oregon (MD165935) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710286901

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. MATTHEW JARED DIVERONICACredential: M.D.

Location Address3181 SW SAM JACKSON PARK RD # L579Portland, OR 97239-3011

Mailing Address3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964

Phone(503) 220-8262

Sole ProprietorNo

Enumeration DateMarch 28, 2011

Last NPPES UpdateFebruary 12, 2016

✔ NPI 1710286901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OR · MD165935

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

3181 SW SAM JACKSON PARK RD # L579, Portland, OR 97239

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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 (PECOS)

Dr. Matthew Jared Diveronica M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 17

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

DR. SARAH ELIZABETH LINDSAY MD

Orthopaedic Surgery

3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239

Multnomah County (503) 494-8211

DR. SCOTT REWINKEL M.D.

Psychiatry & Neurology (Neurology)

3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239

Multnomah County (503) 494-8211

DR. DEEPAK SINGH MANHAS M.D

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD # L579, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8211

JASPER ERICKSON MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239

Multnomah County (503) 494-2570

EVAN LINTON THILO MD

Anesthesiology

3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239

Multnomah County (503) 494-8211

HATEM ADEL SABRY M.D.

Neurological Surgery

3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239

Multnomah County (503) 494-6207

TRAVIS EVAR MELIN D.O.

Anesthesiology

3181 SW SAM JACKSON PARK RD # L579, MAIL CODE SJH-2
PORTLAND, OR 97239

Multnomah County (503) 494-4910

JAMES EDWARD PALMER MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239

Multnomah County (503) 494-8652

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 Diveronica's NPI number?

The NPI number for Matthew Diveronica is 1710286901. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Matthew Diveronica located?

Matthew Diveronica practices at 3181 SW Sam Jackson Park Rd # L579, Portland, OR 97239. The listed phone number is (503) 220-8262.

What is Matthew Diveronica's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Matthew Diveronica enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Diveronica was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.