Individual provider Active NPI

Matthew D Streckert, MD

  • Emergency Medicine Physician
  • Janesville, WI
National Provider Identifier
1902983034
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.152808 Issued in OH
Practice address
5000 Mineral Point Ave
Janesville, WI 53545
Phone
(608) 756-6000
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 43002 KY
Emergency Medicine Physician 207P00000X 35.152808 OH Primary

Addresses

Primary practice location

5000 Mineral Point Ave
Janesville, WI 53545

Mailing address

5000 Mineral Point Ave
Janesville, WI 53545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX, OH, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20090910000602 KY Practitioner - Emergency Medicine 8022181510 Reassigns benefits to 1 organization
I20231218001873 TX Practitioner - Emergency Medicine 8022181510 Reassigns benefits to 2 organizations
I20250602002470 OH Practitioner - Emergency Medicine 8022181510 Reassigns benefits to 1 organization
I20260529003919 WA Practitioner - Emergency Medicine 8022181510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Yale University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.82
Promoting interoperability
91
Improvement activities
40
Cost
84.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43002KYMDEmergency Medicine Physician
35.152808OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawton Indian Hospital CurrentSince Feb 3, 2025 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jul 11, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 29, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 29, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 15, 2009 Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

Organizations & group practices 8

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 9

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1902983034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53545",
            "telephone_number": "608-756-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRECKERT",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "43002",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.152808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.