NPIMap

Individual provider Active NPI

Matthew William Shore, M.D.

  • Pediatric Radiology Physician
  • Madison, WI
National Provider Identifier
1669814737
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
62883-20 Issued in WI
Practice address
Uw Hospital and Clinics
600 Highland Ave, H4/831
Madison, WI 53792-0001
Phone
(608) 263-9729
NPI assigned
Jul 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 62883-20 WI
Diagnostic Radiology Physician 2085R0202X 62883-20 WI
Diagnostic Radiology Physician 2085R0202X 036-150688 IL
Pediatric Radiology Physician 2085P0229X 62883-20 WI Primary

Addresses

Primary practice location

Uw Hospital and Clinics
600 Highland Ave, H4/831
Madison, WI 53792-0001

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

8915 W Connell Ave Dept Of
Milwaukee, WI 53226-3067
Phone (414) 266-2523

Other practice location 2

1000 N Westmoreland Road
Radiology Department
Lake Forest, IL 60045
Phone (847) 234-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20190529001459 WI Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8729202049 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Medical College of Wisconsin, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin System Non PayrollGroup PAC ID 9133024888, 111 clinicians
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians
Richland HospitalGroup PAC ID 7618861618, 69 clinicians
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1111 Highland Ave
Madison, WI 53705-2275
Phone (608) 265-8731

1705 Hoffman St
Madison, WI 53704-2510
Phone (608) 441-3220

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 222-9777

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

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

675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700

8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766

Hospital & facility affiliations

  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089
  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
  • Mile Bluff Medical Center Hospital, Mauston, WI, CCN 520109
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Richland Hospital Hospital, Richland Center, WI, CCN 521341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-150688ILMDDiagnostic Radiology Physician
62883-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin System Non Payroll CurrentSince Oct 1, 2023 Accepting new patients
Richland Hospital CurrentSince Apr 7, 2024 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Oct 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Richland Hospital CurrentSince Apr 7, 2024 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Nov 11, 2023 Accepting new patients
Fort Healthcare Inc CurrentSince Oct 1, 2023 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Fort Healthcare, Inc. CurrentSince Oct 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

1620 Mehta Ln
Fort Atkinson, WI 53538
Phone (920) 563-5544

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

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

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

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

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

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

1111 Highland Ave
Madison, WI 53705
Phone (608) 265-3596

600 Highland Ave
#H4831
Madison, WI 53792
Phone (608) 263-0572

1 S Park St
Madison, WI 53715
Phone (608) 287-2000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

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

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

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: mshore279013@direct.unitypoint.org

Organizations & group practices 12

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.

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1669814737",
    "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": "UW HOSPITAL AND CLINICS",
            "address_2": "600 HIGHLAND AVE, H4/831",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8915 W Connell Ave Dept Of",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263067",
            "country_code": "US",
            "telephone_number": "414-266-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Westmoreland Road",
            "address_2": "Radiology Department",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "60045",
            "country_code": "US",
            "telephone_number": "847-234-5600",
            "fax_number": "847-535-7847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORE",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "WI",
            "license": "62883-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "62883-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-150688",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "WI",
            "license": "62883-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.