Individual provider Active NPI

Matthew Stalker, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1669490090
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M4564 Issued in TX
Practice address
311 Camden St
Suite 208
San Antonio, TX 78215-2012
Phone
(210) 892-0028
Fax
(210) 455-0169
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 036144474 IL
Diagnostic Radiology Physician 2085R0202X 2025021784 MO
Diagnostic Radiology Physician 2085R0202X M4564 TX Primary

Addresses

Primary practice location

311 Camden St
Suite 208
San Antonio, TX 78215-2012

Mailing address

311 Camden St
Suite 208
San Antonio, TX 78215-2012
Phone (210) 892-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181031002778 MI Practitioner - Diagnostic Radiology 9739114349 Reassigns benefits to 1 organization
I20181214001592 IL Practitioner - Diagnostic Radiology 9739114349 Reassigns benefits to 15 organizations
I20250813003066 MO Practitioner - Diagnostic Radiology 9739114349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Crawford Hospital DistrictGroup PAC ID 7719898071, shared by 8 NPIs, 71 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
County of ClayGroup PAC ID 0042101982, 77 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 546-5600

107 Tremont St
Hoepdale, IL 61747-7525
Phone (309) 671-8282

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036144474ILMDDiagnostic Radiology Physician
2025021784MOMDDiagnostic Radiology Physician
M4564TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation Current Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jul 4, 2025 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Sep 17, 2018 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 17, 2024 Accepting new patients
Blessing Hospital CurrentSince Jul 1, 2025 Accepting new patients
Blessing Hospital CurrentSince Jul 1, 2025 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Sep 18, 2023 Accepting new patients
Crawford Hospital District CurrentSince Sep 14, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Oct 30, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Oct 30, 2025 Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 5, 2019 Accepting new patients
Crawford Hospital District Current Accepting new patients
County of Clay Current Accepting new patients
Crawford Hospital District CurrentSince Sep 14, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 20, 2025 Accepting new patients
Envision Medical Imaging, LLC Diagnostic Radiology CurrentSince Apr 3, 2024 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Oct 30, 2025 Accepting new patients
Insight Medical Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Diagnostic Radiology Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 5, 2019 Accepting new patients
Good Samaritan Regional Health Center Diagnostic Radiology Current Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Naperville Medical Imaging LLC CurrentSince Jul 1, 2019 Accepting new patients
County of Clay CurrentSince Aug 17, 2025 Accepting new patients
County of Clay CurrentSince Aug 17, 2025 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

107 Tremont St
Hopedale, IL 61747
Phone (309) 343-1000

8930 Waukegan Rd
Ste 130
Morton Grove, IL 60053
Phone (847) 929-5453

9000 Waukegan Rd
Ste 110
Morton Grove, IL 60053
Phone (847) 213-2700

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

1005 Broadway St
Quincy, IL 62301

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

100 Medical Dr
Hannibal, MO 63401

101 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

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.

View all 29

Hospital & facility affiliations 10

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1669490090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "SUITE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-892-0228",
            "fax_number": "210-455-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "SUITE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-892-0028",
            "fax_number": "210-455-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALKER",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036144474",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2025021784",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M4564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.