Individual provider Active NPI

Matthew Lee Zweerink, MD

  • Surgery Physician
  • Grand Forks, ND
National Provider Identifier
1215414867
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RL15204 Issued in ND
Practice address
University of North Dakota SMHS, Department of Surgery
1301 N Columbia Rd, Stop 9037
Grand Forks, ND 58202-9037
Phone
(701) 777-3067
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X RL15204 ND Primary

Addresses

Primary practice location

University of North Dakota SMHS, Department of Surgery
1301 N Columbia Rd, Stop 9037
Grand Forks, ND 58202-9037

Mailing address

University of North Dakota SMHS, Department of Surgery
1301 N Columbia Rd, Stop 9037
Grand Forks, ND 58202-9037
Phone (701) 777-3067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251129000245 MO Practitioner - Cardiac Surgery 4385988591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844

1601 E Broadway
Suite 350
Columbia, MO 65201-8019
Phone (573) 815-2970

1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Physician Services, LLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

1605 E Broadway
Ste 210
Columbia, MO 65201
Phone (573) 815-2236

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1601 E Broadway
Ste 350
Columbia, MO 65201
Phone (573) 443-8796

Organizations & group practices 1

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 4

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1215414867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH DAKOTA SMHS, DEPARTMENT OF SURGERY",
            "address_2": "1301 N COLUMBIA RD, STOP 9037",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029037",
            "telephone_number": "701-777-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH DAKOTA SMHS, DEPARTMENT OF SURGERY",
            "address_2": "1301 N COLUMBIA RD, STOP 9037",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029037",
            "telephone_number": "701-777-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWEERINK",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "RL15204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.