Matthew Michael Banti, M.D.
Individual provider Active NPI Urology Physician · JBLM, WA
NPI 1780909184 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1780909184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 0443134 (KS)
- Practice address
- 9040A Jackson Ave
JBLM, WA 98431 - Phone
- (253) 968-1111
- NPI assigned
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capital Medical Center Specialty Physicians LLC
Practice addresses (Care Compare)
3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743
601 McPhee Rd SW
BLDG 1
Olympia, WA 98502-5080
Phone (360) 706-6282
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170217001231 | WA | Practitioner - Urology | 2163648957 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26476 | NE | MD | Mental Health Counselor |
| MD-23249-0 | HI | MD | Urology Physician |
| 01089852A | IN | MD | Urology Physician |
| 0443134 | KS | MD | Urology Physician |
| 60664462 | WA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0443134 | KS | Yes |
| Urology Physician | 208800000X | 2020012676 | MO | |
| Urology Physician | 208800000X | 26476 | NE | |
| Urology Physician | 208800000X | MD-23249-0 | HI | |
| Urology Physician | 208800000X | 01089852A | IN | |
| Urology Physician | 208800000X | 60664462 | WA |
Addresses
Primary practice location
9040A Jackson Ave
JBLM, WA 98431
Mailing address
9040A Jackson Ave
JBLM, WA 98431
Phone (253) 968-1541
Other providers in JBLM, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.