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Deactivated NPI 1023100484 Deactivated / Inactive NPI Male Practitioner

Dr. David Joseph Matteucci , MD

Colon & Rectal Surgery • Kenosha, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Matteucci has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2006
NPI Deactivation Date September 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. David Matteucci, MD was a registered Colon & Rectal Surgery practicing in Kenosha, WI. Throughout an active medical career spanning 17 years, Dr. Matteucci provided care at the practice location at 5004 22ND AVE until profile deactivation on 2023-09-13.

Practice Location & Contact Primary Location

Practice Address

5004 22nd Ave

Kenosha, WI 531405923

Telephone 2626573353
Fax 2626575305

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Kenosha, WI (33 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License WI 24987020

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2023

Record deactivated on September 13, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5004 22ND AVE, KENOSHA, WI 531405923 (Tel: 2626573353)

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Updated Business Mailing Address July 08, 2007

Registered at 5004 22ND AVE, KENOSHA, WI 531405923 (Tel: 2626573353)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID MATTEUCCI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Colon & Rectal Surgery (License #24987020 in WI)

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Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023100484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Deactivation Date: September 13, 2023

Mailing Address

5004 22nd Ave

Kenosha, WI 531405923

Phone: 2626573353

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.