Matthew Koeberl, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

55016 Issued in WI

Practice address

2300 Western Ave
Lakeshore Radiology
Manitowoc, WI 54220

Phone

(920) 320-3800

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Diagnostic Radiology

Education

Medical College of Wisconsin, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians

Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians

Lakeshore Radiology Associates SCGroup PAC ID 0840208344, 3 clinicians

The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians

Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, 566 clinicians

Froedtert Andthe Medical College of Wisconsin Community Physicians IncGroup PAC ID 3678760063, 1,265 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
• Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
• Aurora Medical Ctr Manitowoc County Hospital, Two Rivers, WI, CCN 520034
• Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177
• Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.koeberl@marshfieldclinichealthsystem.cernerdirect.com
• Direct secure messaging: mkoeberlmd159380@direct.froedtert.com

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.

• Lakeshore Radiology Associates SC

  • Diagnostic Radiology Physician
  • Manitowoc, WI
  • NPI 1346265915
  Medicare reassignment Care Compare group NPD Authorized official
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340
  Medicare reassignment Care Compare group NPD
• Froedtert Manitowoc Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975
  Medicare reassignment Care Compare group NPD
• Premier Radiology Wisconsin, LLC

  • Diagnostic Radiology Physician
  • Mount Pleasant, WI
  • NPI 1952951154
  Medicare reassignment Care Compare group NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  Medicare reassignment Care Compare group NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  Medicare reassignment Care Compare group
• Aspirus Eagle River Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385
  Medicare reassignment NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678
  Medicare reassignment NPD
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Elcho, WI
  • NPI 1831251040
  Medicare reassignment NPD
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin

  • Critical Access Hospital
  • Antigo, WI
  • NPI 1639187412
  Medicare reassignment NPD
• Marshfield Clinic Inc

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  Medicare reassignment NPD
• MCHS Hospitals Inc

  • Clinic/Center
  • Marshfield, WI
  • NPI 1093221434
  Medicare reassignment NPD

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

• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc

  • Rural Health Clinic/Center
  • Rhinelander, WI
  • NPI 1598420218

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Plover, WI
  • NPI 1053080168

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Wittenberg, WI
  • NPI 1114696507

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1306515671

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Amherst, WI
  • NPI 1316616428

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Rhinelander, WI
  • NPI 1316616683

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Family Medicine Physician
  • Stevens Point, WI
  • NPI 1336818608

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • General Acute Care Hospital
  • Rhinelander, WI
  • NPI 1356391247
  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • General Practice Physician
  • Rhinelander, WI
  • NPI 1548628100

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Rural Health Clinic/Center
  • Tomahawk, WI
  • NPI 1558912469

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Iola, WI
  • NPI 1578232849

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1396975165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "address_2": "LAKESHORE RADIOLOGY",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "54220",
            "telephone_number": "414-429-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "address_2": "LAKESHORE RADIOLOGY",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "54220",
            "telephone_number": "920-320-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEBERL",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "55016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jean Klein, LPN
• Melissa A Klein, PHD
• Whitney L Klein, L.P.C.
• Georgeann Marie Knier, APSW
• Philip Knier, M.ED
• Susan F Koehler, APNP
• Alecia G Koenig
• Koenig, Inc
• Shauna Lee Kofoed
• Leah Marie Kohlmann, RN

• Diagnostic Radiology Physician in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.

Verify at the official NPI Registry.