Active NPI
Matthew A Felgus, M.D.
- Psychiatry Physician
- Madison, WI
National Provider Identifier
1487709200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 39227
- Practice address
- 6402 Odana Rd. Suite 106
Madison, WI 53719 - Phone
- (608) 257-1581
- Fax
- (608) 257-1599
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 39227 | WI | |
| Addiction Psychiatry Physician | 2084P0802X | 39227 | WI | |
| Psychiatry Physician | 2084P0800X | 39227 | WI | Primary |
Addresses
Primary practice location
6402 Odana Rd. Suite 106
Madison, WI 53719
Mailing address
6402 Odana Rd. Suite 106
Madison, WI 53719
Phone (608) 257-1581
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041027000708 | WI | Practitioner - Addiction Medicine | 7517929193 | Practice locations: Madison, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- University of Connecticut School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6402 Odana Rd
Suite 106
Madison, WI 53719-1123
Phone (608) 257-1581
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39227 | WI | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Felgus, MD, LLC | Psychiatry | Current | Accepting new patients |
| Psychotherapy & Growth Center | Past | Accepting new patients | |
| County of Sauk | Past | Accepting new patients |
Locations
6402 Odana Rd
Ste 106
Madison, WI 53719
Phone (608) 257-1581
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Madison, WI
- NPI 1942171087
-
- Community/Behavioral Health Agency
- Baraboo, WI
- NPI 1508915323
-
- Social Worker
- Madison, WI
- NPI 1184893752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1487709200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6402 ODANA RD. SUITE 106",
"city": "MADISON",
"state": "WI",
"postal_code": "53719",
"telephone_number": "608-257-1581",
"fax_number": "608-257-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6402 ODANA RD. SUITE 106",
"city": "MADISON",
"state": "WI",
"postal_code": "53719",
"telephone_number": "608-257-1581",
"fax_number": "608-257-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELGUS",
"first_name": "MATTHEW",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "WI",
"license": "39227",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "WI",
"license": "39227",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "39227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.