Matthew Ketelaar, MD
NPI 1336109180 · Diagnostic Radiology Physician · Davenport, IA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Ketelaar, MD is a Diagnostic Radiology Physician provider in Davenport, IA (NPI 1336109180).
Provider details
- NPI number
- 1336109180
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 28007 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2021-05-05
- Certified
- 2021-05-05
Frequently asked questions
- What is Matthew Ketelaar's NPI number?
- Matthew Ketelaar's National Provider Identifier (NPI) is 1336109180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Ketelaar's specialty?
- Matthew Ketelaar is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Ketelaar located?
- Matthew Ketelaar's practice location on file with NPPES is 1970 E 53rd St, Davenport, IA 52807-2710.
- What is Matthew Ketelaar's phone number?
- The practice phone number listed in the NPPES registry for Matthew Ketelaar is (563) 359-3949.
- Does Matthew Ketelaar accept Medicare?
- Matthew Ketelaar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Ketelaar's NPI active?
- Yes — Matthew Ketelaar's NPI (1336109180) is active in the NPPES registry as of the last update on 2021-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.