NPIMap

Matthew S Anderson, M.D.

Individual provider Active NPI Urology Physician · Oshkosh, WI

NPI 1083674212 · NPPES record last updated Aug 25, 2025

Key facts

NPI
1083674212
Entity type
Individual (NPI type 1)
Primary specialty
Urology Physician 208800000X
License
42988-020 (WI)
Practice address
600 N Westhaven Dr
Oshkosh, WI 54904
Phone
(920) 722-7747
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

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

Medicare Care Compare profile

Specialty
Urology
Education
University of Colorado School of Medicine, Denver
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thedacare, Incorporated (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

  • Thedacare Regional Med Ctr - Neenah Hospital · Neenah, WI · CCN 520045
  • Thedacare Regional Medical Center - Appleton Inc Hospital · Appleton, WI · CCN 520160
  • Thedacare Medical Center - New London Hospital · New London, WI · CCN 521326
  • Aurora Medical Ctr Oshkosh Hospital · Oshkosh, WI · CCN 520198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42988-020WIMDUrology Physician

Practice roles

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

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

100 Theda Clark Medical Plz
Ste A300
Neenah, WI 54956

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

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

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

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

100 Theda Clark Medical Plz
#A300
Neenah, WI 54956

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

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

Specialties & licenses

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

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 25, 2025.

{
    "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

All providers in Oshkosh, WI · Urology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.