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

Individual provider Diagnostic Radiology Physician · NPI 1831151802

Matthew L Waack, MD is a Diagnostic Radiology in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 1994, 32 years ago. Practices with Advanced Radiology Services PC, a 252-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
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

3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone: (616) 363-7272
Fax: (616) 361-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301073162 (MI)

Record details

NPI number1831151802
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address3264 N Evergreen Drive Ne, Grand Rapids, MI 49525

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Advanced Radiology Services Pc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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