Active NPI
Michelle L. Matousek, DO
- Family Medicine Physician
- Perrysburg, OH
National Provider Identifier
1922078013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PENDING
- Practice address
- 1601 Brigham Dr
Suite 250
Perrysburg, OH 43551-7114 - Phone
- (419) 872-7745
- Fax
- (419) 874-7758
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PENDING | OH | Primary |
Addresses
Primary practice location
1601 Brigham Dr
Suite 250
Perrysburg, OH 43551-7114
Mailing address
1601 Brigham Dr
Suite 250
Perrysburg, OH 43551-7114
Phone (419) 872-7745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | OH | MD | Vascular Neurology Physician |
Interoperability endpoints
- michelle.matousek.1@22299.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922078013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 BRIGHAM DR",
"address_2": "SUITE 250",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435517114",
"telephone_number": "419-872-7745",
"fax_number": "419-874-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRIGHAM DR",
"address_2": "SUITE 250",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435517114",
"telephone_number": "419-872-7745",
"fax_number": "419-874-7758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOUSEK",
"first_name": "MICHELLE",
"middle_name": "L.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.