Individual provider Active NPI

Alexi Matousek, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Spokane, WA
National Provider Identifier
1750523577
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
60946735 Issued in WA
Practice address
62 W 7TH Ave Ste 110
Spokane, WA 99204-2321
Phone
(509) 456-0262
Fax
(509) 462-5059
NPI assigned
Mar 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 60946735 WA Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 109958 GA

Addresses

Primary practice location

62 W 7TH Ave Ste 110
Spokane, WA 99204-2321

Mailing address

62 W 7TH Ave Ste 110
Spokane, WA 99204-2321
Phone (509) 456-0262

Other practice location 1

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Other practice location 2

500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone (406) 329-5615

Other practice location 3

75 Francis St
Boston, MA 02115-6110
Phone (617) 582-1184

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amatousek1130827@wm.providencedirect.org Direct
Direct Messaging Address amatousek1130827@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA2 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
I20190812003322 WA Practitioner - Thoracic Surgery 2668610072 Reassigns benefits to 2 organizations
I20251209001530 GA Practitioner - Thoracic Surgery 2668610072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Rochester School of Medicine and Dentistry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians
Providence Health and Services-WaGroup PAC ID 7911069703, 25 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

2979 Squalicum Pkwy
Suite 201
Bellingham, WA 98225-1813
Phone (360) 788-6800

62 W 7TH Ave
Spokane, WA 99204-2321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109958GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services-Wa Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2019 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Nov 26, 2025 Accepting new patients
Kadlec Regional Medical Center PastSince Sep 8, 2019 Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

2979 Squalicum Pkwy
Ste 201
Bellingham, WA 98225
Phone (360) 756-6800

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

62 W 7th Ave
Ste 320
Spokane, WA 99204
Phone (509) 381-6505

62 W 7th Ave
Ste 110
Spokane, WA 99204
Phone (509) 462-6485

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.

Hospital & facility affiliations 1

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1750523577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W 7TH AVE STE 110",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042321",
            "telephone_number": "509-456-0262",
            "fax_number": "509-462-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W 7TH AVE STE 110",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042321",
            "telephone_number": "509-456-0262",
            "fax_number": "509-462-5059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Broadway St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024003",
            "country_code": "US",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-2791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-582-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOUSEK",
        "first_name": "ALEXI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "60946735",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "109958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amatousek1130827@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "62 W 7th Ave Ste 110",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amatousek1130827@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 W Broadway St Ste 320",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.