MR. MATTHEW C PRIVEN (RD, LDN) – Registered Dietitian, NPI 1255886479

MR. MATTHEW C PRIVEN (RD, LDN) is a healthcare provider. based in Boston, Massachusetts. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LDN. They hold a License No. 86025769 (MA). The NPI Number for MR. MATTHEW C PRIVEN (RD, LDN) is 1255886479

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW C PRIVEN (RD, LDN)
NPI
1255886479
Phone
(857) 302-3060
Address
470 Atlantic Ave Fl 4
Enumeration Date
17 August 2016
Last Update Date
20 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8573023060
Graduation Year
2014 (12 years ago)
PAC ID
7810266624
Group Practice PAC ID
2466721279
Professional Enrollment ID
I20170711002609
Address ID
MA019502624NE31XXXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

247 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MA

Provider Addresses for MR. MATTHEW C PRIVEN (RD, LDN)

  • 470 Atlantic Ave Fl 4

    Boston, MA 022102241

    Phone: (857) 302-3060

    Fax: (877) 778-9196

    Type: Location

  • 18 ISLAND HILL AVE UNIT 211

    MELROSE, MA 021766154

    Phone: (857) 302-3060

    Type: Mailing

  • 18 HIGHLAND AVE

    NEWBURYPORT, MA 019503812

    Phone: (857) 302-3060

    Fax: (877) 778-9196

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170711002609IRegistered Dietitian Or Nutrition ProfessionalMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466721279View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalMA

Reviews

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Frequently asked questions

Where can patients find MR. MATTHEW C PRIVEN (RD, LDN)'s NPI?
You can confirm MR. MATTHEW C PRIVEN (RD, LDN) with NPI 1255886479; it appears in the national provider directory.
Is MR. MATTHEW C PRIVEN (RD, LDN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. MATTHEW C PRIVEN (RD, LDN)'s specialty in plain language?
Clinically, the directory lists MR. MATTHEW C PRIVEN (RD, LDN) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where is MR. MATTHEW C PRIVEN (RD, LDN)'s primary listing?
We display Boston, Massachusetts because that is what the record indicates for MR. MATTHEW C PRIVEN (RD, LDN).
How can I contact MR. MATTHEW C PRIVEN (RD, LDN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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