Individual provider Active NPI

Matthew Niemeyer, MD

  • Vascular & Interventional Radiology Physician
  • Madison, WI
National Provider Identifier
1609018050
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
84151 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-7232
Phone
(608) 263-9729
Fax
(608) 263-0682
NPI assigned
Apr 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036145693 IL
Vascular & Interventional Radiology Physician 2085R0204X 036145693 IL
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 84151 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-7232

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

1740 W Taylor St # Mc931
Chicago, IL 60612-7232
Phone (312) 996-7766

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mniemeyer1064615@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181022000277 IL Practitioner - Interventional Radiology 4587893144 Reassigns benefits to 3 organizations
I20240731004075 WI Practitioner - Diagnostic Radiology 4587893144 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036145693ILMDVascular & Interventional Radiology Physician
84151WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Hospital CurrentSince Aug 1, 2024 Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 28, 2018 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Sep 1, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 1, 2024 Accepting new patients
Richland Hospital CurrentSince Aug 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Diagnostic Radiology CurrentSince Jul 28, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 1, 2024 Accepting new patients
Radiology Consultants of Rockford LTD Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Sep 1, 2024 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

39020 Eagle Way
Chicago, IL 60678

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1340 Charles St
Ste 404
Rockford, IL 61104
Phone (815) 316-8346

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: mniemeyer1064615@direct.uwhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1609018050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537927232",
            "telephone_number": "608-263-9729",
            "fax_number": "608-263-0682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St # Mc931",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-996-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMEYER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036145693",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036145693",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "84151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mniemeyer1064615@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537927232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.