Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Matthew S. Keene, DPM

Individual provider Podiatrist · NPI 1508967621

Dr. Matthew S. Keene, DPM is a Podiatry in Rockford, Illinois. Qualified in 2003, 23 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4777 E State St Ste 8
Rockford, IL 61108
Phone: (815) 980-8980
Fax: (815) 397-2266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 W Taylor St, Chicago, IL 60612-4795 — (312) 996-7416

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence 016005216 (IL)
Podiatrist Taxonomy 213E00000X · Licence 016005216 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016005216 (IL)

Record details

NPI number1508967621
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address4777 East State Street, Suite 8, Rockford, IL 61108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Rockford