DR. HANI S MATLOUB MD
NPI 1316998164
Surgery - Plastic and Reconstructive Surgery in Milwaukee, WI

Active since May 15, 2006PECOS Enrolled
1155 N MAYFAIR RD, PLASTIC SURGERY CENTER, MILWAUKEE, WI 53226(414) 955-1000(414) 955-0183 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Hani S Matloub Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HANI S MATLOUB MD (NPI 1316998164) is an individual plastic and reconstructive surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (21948) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Menomonee Falls.

NPPES Registry Identity

NPI1316998164
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. HANI S MATLOUBCredential: MD
Location Address1155 N MAYFAIR RD, PLASTIC SURGERY CENTERMilwaukee, WI 53226-3462
Mailing Address1155 N Mayfair Rd, Plastic Surgery CenterMilwaukee, WI 53226-3462 · (414) 955-1000 · Fax (414) 955-0183
Fax(414) 955-0183
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateMay 1, 2020
NPPES CertifiedMay 1, 2020
NPI 1316998164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in WI · 21948
Definition

A surgeon who specializes in plastic and reconstructive surgery.

1155 N MAYFAIR RD, Milwaukee, WI 53226

Secondary Practice Location 1

Location 1W180N8000 Town Hall RdMenomonee Falls, WI 53051-4002 · Phone (262) 255-2500 · Fax (262) 253-9501

Other Identifiers 2

Other002000126CHumana
Medicaid1316998164WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Hani S Matloub Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1155 N MAYFAIR RD, BEHAVIORAL HEALTH CLINIC @ TOSA
MILWAUKEE, WI 53226
Physical Medicine & Rehabilitation
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Nurse Practitioner
1155 N MAYFAIR RD, BEHAVIORAL HEALTH CLINIC @ TOSA
MILWAUKEE, WI 53226
Physical Therapist
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Physical Therapy Assistant
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Occupational Therapist
1155 N MAYFAIR RD, THE HAND CENTER
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316998164, enumerated as an "individual" on May 15, 2006.

The provider is located at 1155 N MAYFAIR RD PLASTIC SURGERY CENTER MILWAUKEE, WI 53226 and the phone number is (414) 955-1000.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Humana, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.