Active NPI
Andrew T Matheus, MD
- Family Medicine Physician
- Ashland, WI
National Provider Identifier
1467460980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33091
- Practice address
- 1001 Main St W
Ashland, WI 54806-1307 - Phone
- (715) 682-5601
- NPI assigned
- Aug 3, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33091 | WI | Primary |
Addresses
Primary practice location
1001 Main St W
Ashland, WI 54806-1307
Mailing address
1001 Main St W
Ashland, WI 54806-1366
Phone (715) 373-5128
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33091 | Other | WI | STATE LICENSE |
| 31865900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Main St W
Ashland, WI 54806-1366
Phone (715) 682-5601
Hospital & facility affiliations
- Regional Hospice Services
- St Lukes Hospital
- Tamarack Health Ashland Medical Center
- Essentia Health St Mary'S Medical Center
- Tamarack Health Hayward Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33091 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainstreet Clinic SC | Current | Accepting new patients |
Locations
1001 Main St W
Ashland, WI 54806
Phone (715) 682-5601
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.
-
- Primary Care Clinic/Center
- Ashland, WI
- NPI 1134137557
Hospital & facility affiliations 31
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hayward, WI
- NPI 1912992827
-
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
- Community Based Hospice Care Agency
- Ashland, WI
- NPI 1184627499
-
- General Acute Care Hospital
- Superior, WI
- NPI 1629017793
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1467460980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST W",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548061366",
"telephone_number": "715-373-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST W",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548061307",
"telephone_number": "715-682-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEUS",
"first_name": "ANDREW",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "33091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "33091",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31865900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.