Individual provider Active NPI

Matthew James Dorner, M.D.

  • Family Medicine Physician
  • Mattoon, IL
National Provider Identifier
1528176880
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036122714 Issued in IL
Practice address
3555 E County Road 250N
Mattoon, IL 61938-6766
Phone
(864) 580-1676
Fax
(615) 827-0312
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036122714 IL Primary

Addresses

Primary practice location

3555 E County Road 250N
Mattoon, IL 61938-6766

Mailing address

3555 E County Road 250N
Mattoon, IL 61938-6766
Phone (864) 580-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20090917000488 IL Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Other (Physician) 1355350489 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital Family Medicine CurrentSince Feb 26, 2019 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Feb 26, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 3, 2011 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients

Locations

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1528176880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 E COUNTY ROAD 250N",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386766",
            "telephone_number": "864-580-1676",
            "fax_number": "615-827-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 E COUNTY ROAD 250N",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386766",
            "telephone_number": "864-580-1676",
            "fax_number": "615-827-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNER",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036122714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.