Active NPI
Matthew Stephen Wysocki, DO
- Nephrology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 02006835A
- Practice address
- 9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365 - Phone
- (317) 574-4747
- NPI assigned
- Apr 1, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 02006835A | IN | Primary |
Addresses
Primary practice location
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Mailing address
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747
Other practice location 1
8205 E 56th St Ste 250
Indianapolis, IN 46216-1097
Phone (317) 353-8985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300065267 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7979 N Shadeland Ave
Indianapolis, IN 46250-2042
Phone (317) 621-3780
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000
9011 N Meridian St
Suite 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747
Hospital & facility affiliations
- FMC - Greenfield
- FMC - Irvington
- FMC - Indianapolis-East
- FMC-Indianapolis Northeast
- DaVita Home Dialysis of Indianapolis
- Community Hospital East
- Community Hospital North
- Hancock Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006835A | IN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Indiana Nephrology and Internal Medicine, P.C. | Nephrology | Current | Accepting new patients |
| Community Physician Network Specialty Care LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
5918 Reliable Pkwy
Chicago, IL 60686
5819 Reliable Pkwy
Chicago, IL 60686
13648 Olivia Way
Fishers, IN 46037
Phone (317) 353-8985
1051 N State St
Greenfield, IN 46140
Phone (317) 353-8985
8330 Naab Rd
Ste 234
Indianapolis, IN 46260
Phone (317) 875-0084
7979 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-3780
9011 N Meridian St
Ste 225
Indianapolis, IN 46260
Phone (317) 574-4747
8205 E 56th St
Ste 250
Indianapolis, IN 46216
Phone (317) 338-6701
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
1350 E County Line Rd
Ste L
Indianapolis, IN 46227
Phone (317) 865-8520
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
2500 Parkway Dr
Shelbyville, IN 46176
Phone (317) 353-8985
Interoperability endpoints
- mwysocki41895@direct.acumenmd.com
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1588535496
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Nephrology Physician
- Indianapolis, IN
- NPI 1669493722
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1467811570
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1548779663
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1487183976
Dialysis facility
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1467485003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1346772928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9011 N MERIDIAN ST STE 225",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605365",
"telephone_number": "317-574-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9011 N MERIDIAN ST STE 225",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605365",
"telephone_number": "317-574-4747"
}
],
"practiceLocations": [
{
"address_1": "8205 E 56th St Ste 250",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462161097",
"country_code": "US",
"telephone_number": "317-353-8985",
"fax_number": "317-353-2389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYSOCKI",
"first_name": "MATTHEW",
"middle_name": "STEPHEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-01",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "02006835A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300065267",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.