Healthcare Provider Details

I. General information

NPI: 1942171087
Provider Name (Legal Business Name): MATTHEW FELGUS, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6402 ODANA ROAD SUITE 106
MADISON WI
53719-1123
US

IV. Provider business mailing address

6402 ODANA ROAD SUITE 106
MADISON WI
53719-1123
US

V. Phone/Fax

Practice location:
  • Phone: 608-257-1581
  • Fax: 608-257-1599
Mailing address:
  • Phone: 608-257-1581
  • Fax: 608-257-1599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW A FELGUS
Title or Position: MD
Credential: MD
Phone: 608-257-1581