Active NPI
Matthew Adam Pilecki, MD
- Interventional Pain Medicine Physician
- Mount Pleasant, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 76795
- Practice address
- 8400 Washington Ave
Mount Pleasant, WI 53406-3735 - Phone
- (262) 884-4000
- NPI assigned
- Jan 15, 2015
- Last updated
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 7679520 | WI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036.172257 | IL | |
| Interventional Pain Medicine Physician | 208VP0014X | 76795 | WI | Primary |
Addresses
Primary practice location
8400 Washington Ave
Mount Pleasant, WI 53406-3735
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (262) 884-4000
Other practice location 1
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-6106
Other practice location 2
240 E Huron Street Chicago, IL 60611
Chicago, IL 60611
Phone (312) 503-7975
Other practice location 3
1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100206627 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpilecki379621@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Northwestern University Feinberg Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8400 Washington Ave
Mount Pleasant, WI 53406-3735
Phone (262) 321-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.172257 | IL | MD | Pain Medicine (Anesthesiology) Physician |
| 7679520 | WI | MD | Pain Medicine (Anesthesiology) Physician |
| 76795 | WI | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Interventional Pain Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
6815 118th Ave
Ste 204
Kenosha, WI 53142
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- mpilecki379621@direct.myadvocateaurora.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
Interventional Pain Medicine
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
-
dba Aurora Medical Center Burlington
- General Acute Care Hospital
- Burlington, WI
- NPI 1861557753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1033508981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "262-884-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 WASHINGTON AVE",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534063735",
"telephone_number": "262-884-4000"
}
],
"practiceLocations": [
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-6106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 E Huron Street Chicago, IL 60611",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60611",
"country_code": "US",
"telephone_number": "312-503-7975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 N Randall Rd",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601232300",
"country_code": "US",
"telephone_number": "847-742-9800",
"fax_number": "847-429-2032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILECKI",
"first_name": "MATTHEW",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-15",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WI",
"license": "7679520",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036.172257",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WI",
"license": "76795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100206627",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpilecki379621@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1425 N Randall Rd",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601232300",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1425 N Randall Rd",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601232300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.