Active NPI
Matthew D Wilcox, DO
- Cardiovascular Disease Physician
- Lansing, MI
On this page
- Key facts
- Organizations & group practices29
- Hospital & facility affiliations8
- Owned or controlled facilities with NPI records18
- Care Compare profile
- Medicare participation
- All facility ownership & control disclosures15
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- NPI Registry JSON
- Other providers in Lansing, MI
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 5101014391
- Practice address
- 1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806 - Phone
- (517) 364-9650
- Fax
- (517) 364-9605
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
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.
-
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
-
- Multi-Specialty Clinic/Center
- Lansing, MI
- NPI 1023659802
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1043562465
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- Urology Physician
- Lansing, MI
- NPI 1124502851
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1124654793
-
- Family Medicine Physician
- Holt, MI
- NPI 1437400413
-
- Surgery Physician
- Lansing, MI
- NPI 1457744666
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Hospital
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
Hospital
Owned or controlled facilities with NPI records 18
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Corporate Officer
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
Corporate Officer
-
- Rehabilitation Hospital Unit
- Lansing, MI
- NPI 1477512424
Corporate Officer
-
- Psychiatric Hospital Unit
- Lansing, MI
- NPI 1669431292
Corporate Officer
-
- General Acute Care Hospital
- Carson City, MI
- NPI 1336103043
Corporate Officer
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Ohio University, College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edward W Sparrow Hospital AssociationSparrow Clinton Hospital
Practice addresses (Care Compare)
1140 E Michigan Ave
400 Sparrow Tci
Lansing, MI 48912-1806
Phone (517) 364-9650
805 S Oakland St
Saint Johns, MI 48879-2253
Phone (517) 364-9650
901 S Oakland St
Suite 101
Saint Johns, MI 48879-2255
Phone (517) 364-9650
Hospital & facility affiliations
- Edward W Sparrow Hospital
- University of Michigan Health- Sparrow Clinton
- University of Michigan Health - Sparrow Eaton
- Memorial Healthcare
- Sparrow Ionia Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
All facility ownership & control disclosures 15
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050428000071 | MI | Practitioner - Cardiovascular Disease (Cardiology) | 0042259129 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101014391 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Memorial Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Cardiovascular Disease | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Past | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients | |
| Sparrow Specialty Hospital | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
800 W Lawrence Ave
Charlotte, MI 48813
Phone (517) 541-5800
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
1140 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-5200
1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1140 E Michigan Ave
Ste 40
Lansing, MI 48912
Phone (517) 483-7550
300 Health Park Dr
Ste 301
Owosso, MI 48867
Phone (989) 723-3613
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
901 S Oakland St
Ste 101
Saint Johns, MI 48879
Phone (517) 332-4263
901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338
301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125
Interoperability endpoints
- mwilcox10145@sparrowdirecthie.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 5101014391 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806
Mailing address
3500 S Cedar St
Ste 116
Lansing, MI 48910-4699
Phone (517) 887-2511
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4730051 | Medicaid | MI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2019.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1508864307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 S CEDAR ST",
"address_2": "STE 116",
"city": "LANSING",
"state": "MI",
"postal_code": "489104699",
"telephone_number": "517-887-2511",
"fax_number": "517-882-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 E MICHIGAN AVE STE 400",
"city": "LANSING",
"state": "MI",
"postal_code": "489121806",
"telephone_number": "517-364-9650",
"fax_number": "517-364-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "MATTHEW",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "5101014391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4730051",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.