Individual provider Active NPI

Matthew Dean Hanson, MD

  • Emergency Medicine Physician
  • Peoria, IL
National Provider Identifier
1174782916
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-39599 Issued in IA
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637
Phone
(309) 655-6710
NPI assigned
Jun 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-39599 IA Primary
Emergency Medicine Physician 207P00000X 125054033 IL

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-6710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120105000205 IA Practitioner - Emergency Medicine 1153597661 Reassigns benefits to 2 organizations
I20150723006791 IL Practitioner - Emergency Medicine 1153597661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Southern Illinois University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity HealthcareGroup PAC ID 8224931548, 65 clinicians
Trinity Medical CenterGroup PAC ID 2264337518, shared by 4 NPIs, 97 clinicians

Practice addresses (Care Compare)

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 264-9100

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-3180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125054033ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare CurrentSince Nov 15, 2017 Accepting new patients
Unity Healthcare Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Unity Healthcare CurrentSince Nov 15, 2017 Accepting new patients
Trinity Medical Center Current Accepting new patients
Trinity Medical Center Emergency Medicine CurrentSince Sep 28, 2017 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

352 John Deere Rd
Moline, IL 61265
Phone (309) 779-7500

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: mhanson555023@direct.unitypoint.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1174782916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61637",
            "telephone_number": "309-655-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61637",
            "telephone_number": "309-655-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MATTHEW",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-39599",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125054033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.