Individual provider Active NPI

Matthew David Dalke, MD

  • Family Medicine Physician
  • Southampton, NY
National Provider Identifier
1861842726
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
283169 Issued in MA
Practice address
240 Meeting House LN
Southampton, NY 11968-5009
Phone
(631) 726-0409
Fax
(631) 726-0396
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017033231 MO
Family Medicine Physician 207Q00000X 283169 MA Primary

Addresses

Primary practice location

240 Meeting House LN
Southampton, NY 11968-5009

Mailing address

240 Meeting House LN
Southampton, NY 11968-5009
Phone (631) 726-0409

Other practice location 1

890 State Highway 248
Branson, MO 65616-4435
Phone (417) 335-7353

Other practice location 2

198 Charlton Rd
Sturbridge, MA 01566-1571
Phone (508) 347-9240

Other practice location 3

3800 S National Ave Ste 601
Springfield, MO 65807-5209
Phone (417) 269-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, MA3 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
I20180824001627 MO Practitioner - Family Practice 2668721671 Reassigns benefits to 2 organizations
I20181029000083 AR Practitioner - Family Practice 2668721671 Reassigns benefits to 1 organization
I20200806001436 MA Practitioner - Family Practice 2668721671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

3800 S National Ave
Suite 700
Springfield, MO 65807-5279
Phone (417) 269-8817

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283169MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince May 10, 2024 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince May 10, 2024 Accepting new patients
Piggott Community Hospital CurrentSince Sep 15, 2018 Accepting new patients
Nantucket Cottage Hospital CurrentSince Nov 25, 2022 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 1, 2024 Accepting new patients
Nantucket Cottage Hospital CurrentSince Nov 25, 2022 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Nantucket Physicians Organization Family Medicine CurrentSince Nov 25, 2022 Accepting new patients
Piggott Community Hospital Family Medicine CurrentSince Sep 15, 2018 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers Family Medicine Past Accepting new patients
Umass Memorial Health-Harrington Hospital Inc Past Accepting new patients

Locations

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

100 South St
Ste 102
Southbridge, MA 01550
Phone (508) 765-7860

198 Charlton Rd
Sturbridge, MA 01566
Phone (508) 347-7585

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

3800 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-8817

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896

3800 S National Ave
Ste 601
Springfield, MO 65807
Phone (417) 269-8787

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Interoperability endpoints

  • Direct secure messaging: vrhmdalke@yourcarecommunity.org
  • Direct secure messaging: matthew.dalke.p1@direct.jordanvalley.nextgenshare.com

Organizations & group practices 15

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 15

Hospital & facility affiliations 3

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1861842726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-0409",
            "fax_number": "631-726-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-0409",
            "fax_number": "631-726-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 State Highway 248",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656164435",
            "country_code": "US",
            "telephone_number": "417-335-7353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 Charlton Rd",
            "address_purpose": "LOCATION",
            "city": "Sturbridge",
            "state": "MA",
            "postal_code": "015661571",
            "country_code": "US",
            "telephone_number": "508-347-9240",
            "fax_number": "508-347-5361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S National Ave Ste 601",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075209",
            "country_code": "US",
            "telephone_number": "417-269-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALKE",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017033231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "283169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.