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

Matthew Koeberl, MD

Individual provider Diagnostic Radiology Physician · NPI 1396975165

Matthew Koeberl, MD is a Diagnostic Radiology in Manitowoc, Wisconsin. Graduated from Medical College of Wisconsin in 2009, 17 years ago. Practices with Premier Radiology Wisconsin LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2300 Western Ave Lakeshore Radiology
Manitowoc, WI 54220
Phone: (920) 320-3800
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 55016 (WI)

Record details

NPI number1396975165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2009
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address2300 Western Ave, Lakeshore Radiology, Manitowoc, WI 54220

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2009 (17 years in practice)
Group practice Premier Radiology Wisconsin Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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