NPIMap

Individual provider Active NPI

Matthew D Wilcox, DO

  • Cardiovascular Disease Physician
  • Lansing, MI
National Provider Identifier
1508864307
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101014391 Issued in MI
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
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101014391 MI Primary

Addresses

Primary 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000071 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042259129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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
Sparrow Clinton HospitalGroup PAC ID 5395658850, shared by 3 NPIs, 23 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Clinton Hospital Current Accepting new patients
Memorial Hospital Cardiovascular Disease CurrentSince Jun 24, 2024 Accepting new patients
Edward W Sparrow Hospital Association Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jun 1, 2025 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jun 1, 2025 Accepting new patients
Memorial Hospital CurrentSince Jun 24, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Sparrow Ionia Hospital PastSince Jul 1, 2025 Accepting new patients
Sparrow Specialty Hospital PastSince Jul 1, 2025 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 40
Lansing, MI 48912
Phone (517) 483-7550

1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

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
Saint Johns, MI 48879
Phone (517) 227-2338

901 S Oakland St
Ste 101
Saint Johns, MI 48879
Phone (517) 332-4263

301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125

Interoperability endpoints

  • Direct secure messaging: mwilcox10145@sparrowdirecthie.org

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of Michigan Health-Sparrow Specialty HospitalLansing, MI, CCN 232037 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow EatonCharlotte, MI, CCN 231327 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health - WestWyoming, MI, CCN 230236 Hospital Corporate Director Jul 1, 2025
University of Michigan Health-Sparrow LansingLansing, MI, CCN 230230 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow IoniaIonia, MI, CCN 231331 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-SparrowLansing, MI, CCN 23T230 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow St. LawrenceLansing, MI, CCN 23S230 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-SparrowCarson City, MI, CCN 230208 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-SparrowSaint Johns, MI, CCN 23Z326 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Carson Primary CareCarson City, MI, CCN 233994 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-SparrowGreenville, MI, CCN 233996 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Ithaca Primary CareIthaca, MI, CCN 238517 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Portland Primary CarePortland, MI, CCN 238631 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Saranac Primary CareSaranac, MI, CCN 238698 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Carson OB/GYNCarson City, MI, CCN 238706 Rural health clinic Corporate Officer Jul 1, 2025

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.