Individual provider Active NPI

Matthew Smetko, DO

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1639564479
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS18894 Issued in FL
Practice address
8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822
Phone
(239) 424-1452
Fax
(239) 437-7499
NPI assigned
Mar 30, 2015
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 73108 WI
Diagnostic Radiology Physician 2085R0202X OS18894 FL Primary
Diagnostic Radiology Physician 2085R0202X 036146278 IL

Addresses

Primary practice location

8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Other practice location 1

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Other identifiers 1

IdentifierTypeStateIssuer
114336700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msmetko667832@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, TX, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200622002198 WI Practitioner - Diagnostic Radiology 7911217971 Reassigns benefits to 2 organizations
I20210428002818 IL Practitioner - Diagnostic Radiology 7911217971 Reassigns benefits to 4 organizations
I20210517001311 TX Practitioner - Diagnostic Radiology 7911217971 Reassigns benefits to 5 organizations
I20220809004111 FL Practitioner - Diagnostic Radiology 7911217971 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Consultants P aGroup PAC ID 3678471943, 70 clinicians

Practice addresses (Care Compare)

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 938-3571

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18894FLMDDiagnostic Radiology Physician
036146278ILMDDiagnostic Radiology Physician
73108WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 13, 2020 Accepting new patients
Crawford Hospital District Current Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
West Florida Radiology Associates PA Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Nov 1, 2024 Accepting new patients
Ton San Xavier Health Center CurrentSince May 1, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Ton Sells Hospital CurrentSince May 1, 2021 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 13, 2020 Accepting new patients
Ton San Simon Health Center CurrentSince May 1, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Lee Health System Inc CurrentSince Jun 1, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince May 1, 2021 Accepting new patients
Southern Delaware Imaging Assoc Diagnostic Radiology CurrentSince Feb 6, 2024 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

160 Twin Springs Way
Defuniak Springs, FL 32435
Phone (850) 389-6955

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022

8791 Conference Dr
Ste 100
Fort Myers, FL 33919
Phone (239) 424-1452

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 805-8700

Interoperability endpoints

  • Direct secure messaging: matthew.smetko.1@11356.direct.athenahealth.com
  • Direct secure messaging: msmetko667832@direct.leememorial.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 5

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1639564479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8791 CONFERENCE DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195822",
            "telephone_number": "239-424-1452",
            "fax_number": "239-437-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 Singletree Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445349",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMETKO",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "73108",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS18894",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036146278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114336700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msmetko667832@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.