Individual provider

Matthew Peterson, MD

Urology Physician Medicare enrolled

Matthew Peterson, MD is an Urology Physician in Alexandria, MN, registered under NPI 1164041505.

Getting there

The practice address on file is 111 17TH AVE E, Alexandria, MN 56308. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

111 17TH AVE E, Alexandria, MN 56308 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
79148 MN Urology Physician primary

This provider holds licence 79148 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Urology
PAC ID
4587173703

Medicare enrolment is recorded as approved under the provider type Practitioner - Urology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Urology covers

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
Allopathic & Osteopathic Physicians Urology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164041505 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 15, 2020
Last updatedAug 29, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 111 17TH AVE E
Alexandria, MN 56308
(320) 763-2707
Fax (320) 763-7883
Mailing address 610 30TH AVE W
Alexandria, MN 56308
This record was updated on Aug 29, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1164041505 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 0 4 1 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 0 4 2 5 0

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164041505?
NPI 1164041505 is the National Provider Identifier assigned to Matthew Peterson, MD in Alexandria, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Urology Physician cover?
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their…
How do I contact Matthew Peterson, MD?
The phone number on file with NPPES is (320) 763-2707, last updated Aug 29, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Matthew Peterson, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164041505 a valid number?
Yes. 1164041505 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.