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

Jacob Todd Matulle, DO

Individual provider Diagnostic Radiology Physician · NPI 1295312072

Jacob Todd Matulle, DO is a Diagnostic Radiology in Madison, Wisconsin. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2021, 5 years ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
5
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-9729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 — (309) 444-0129

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 82112 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295312072
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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