Individual provider

Jantzen Matli, DO

Family Medicine Physician Medicare enrolled

Jantzen Matli, DO is a Family Medicine Physician in Mcalester, OK, registered under NPI 1205337201.

Getting there

The practice address on file is 1401 E VAN BUREN AVE, Mcalester, OK 74501. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1401 E VAN BUREN AVE, Mcalester, OK 74501 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6704 OK Family Medicine Physician primary
T1459 TX Family Medicine Physician

Licences are recorded in 2 states: OK, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
2961828595

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Texas I20200813001781 Practitioner - Family Practice
Oklahoma I20250625001228 Practitioner - Family Practice

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. There are 2 separate enrolment records across 2 states (TX, OK). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Oklahoma and Texas. The practice address on file is in Mcalester, OK, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

OK Oklahoma practice address
Licence
6704
Specialty
Family Medicine Physician
Verify with the OK board →
TX Texas
Licence
T1459
Specialty
Family Medicine Physician
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 6704 OK primary
207Q00000X Family Medicine Physician T1459 TX

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.

NPI1205337201 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 24, 2018
Last updatedAug 12, 2025
StatusActive
Sole proprietorNo
CredentialDO
Practice address 1401 E VAN BUREN AVE
Mcalester, OK 74501
(918) 421-8440
Fax (918) 421-8750
Mailing address 6600 S YALE AVE STE 1400
Tulsa, OK 74136
This record was updated on Aug 12, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1205337201 passes the NPI check digit test The final digit 1 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 2 0 5 3 3 7 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 6 3 5 2 0

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

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 1205337201?
NPI 1205337201 is the National Provider Identifier assigned to Jantzen Matli, DO in Mcalester, OK. 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 Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Jantzen Matli, DO?
The phone number on file with NPPES is (918) 421-8440, last updated Aug 12, 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 Jantzen Matli, DO 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 1205337201 a valid number?
Yes. 1205337201 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.