NPIMap

Individual provider Active NPI

Matthew S Anderson, M.D.

  • Urology Physician
  • Oshkosh, WI
National Provider Identifier
1083674212
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
42988-020 Issued in WI
Practice address
600 N Westhaven Dr
Oshkosh, WI 54904
Phone
(920) 722-7747
NPI assigned
Mar 23, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 42988-020 WI Primary

Addresses

Primary practice location

600 N Westhaven Dr
Oshkosh, WI 54904

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 886-8979

Other practice location 1

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 722-7747

Other practice location 2

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 722-7747

Other practice location 3

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 722-7747

Other practice location 4

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-5222

Other practice location 5

1265 W American Dr # 100
Neenah, WI 54956-1405
Phone (920) 886-8979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.anderson.1@10114.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000061 WI Practitioner - Urology 2769387802 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Colorado School of Medicine, Denver
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

1265 W American Dr
Suite 100
Neenah, WI 54956-1405
Phone (920) 886-8979

130 2ND St
Neenah, WI 54956-2883
Phone (920) 725-0077

1405 Mill St
New London, WI 54961-2155
Phone (920) 531-2000

1405 S Mill St
New London, WI 54961-2155
Phone (920) 831-5050

1818 N Meade St
Appleton, WI 54911-3454

1818 N Meade St Room
N255
Appleton, WI 54911-3454
Phone (920) 730-3383

2500 E Capital Dr
Appleton, WI 54911-8735

3 Neenah Ctr
Neenah, WI 54956-3070

333 N Green Bay Rd
Neenah, WI 54956-1954
Phone (920) 720-2300

4480 W Spencer St
Appleton, WI 54915
Phone (920) 738-4800

600 N Westhaven Dr
Oshkosh, WI 54904-6926
Phone (920) 725-0077

900 E Grant St
Thedacare Orthopedic Care
Appleton, WI 54911-3454
Phone (920) 831-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42988-020WIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Wisconsin S.C. Urology Current Accepting new patients
Thedacare, Incorporated CurrentSince Aug 1, 2025 Accepting new patients
Wisconsin Institute of Urology SC Urology CurrentSince Jan 1, 2011 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Aug 4, 2015 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Aug 4, 2015 Accepting new patients
Thedacare Medical Center - Shawano, Inc. Past Accepting new patients

Locations

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

100 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 722-7747

100 Theda Clark Medical Plz
#A300
Neenah, WI 54956

100 Theda Clark Medical Plz
Ste 300
Neenah, WI 54956
Phone (920) 722-7747

100 Theda Clark Medical Plz
Ste A300
Neenah, WI 54956

1265 West American Dr
#100
Neenah, WI 54956
Phone (920) 722-7747

1265 West American Dr
#200
Neenah, WI 54956
Phone (920) 722-7747

200 Theda Clark Medical Plz
Ste 310
Neenah, WI 54956
Phone (920) 358-1223

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Interoperability endpoints

  • Direct secure messaging: matthew.anderson.1@10114.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1083674212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-886-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WESTHAVEN DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54904",
            "telephone_number": "920-722-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "54904",
            "country_code": "US",
            "telephone_number": "920-722-7747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "54904",
            "country_code": "US",
            "telephone_number": "920-722-7747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "54904",
            "country_code": "US",
            "telephone_number": "920-722-7747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Bellinger St",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "54703",
            "country_code": "US",
            "telephone_number": "715-838-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1265 W American Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549561405",
            "country_code": "US",
            "telephone_number": "920-886-8979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "42988-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.anderson.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2700 W 9th Ave",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.