KENNETH D. MATEJKA (M.D.) – Diagnostic Radiology Physician, NPI 1043218639

KENNETH D. MATEJKA (M.D.) is a healthcare provider. based in Corpus christi, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. L7033 (TX). The NPI Number for KENNETH D. MATEJKA (M.D.) is 1043218639

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH D. MATEJKA (M.D.)
NPI
1043218639
Phone
(361) 887-7000
Address
1812 S ALAMEDA ST
Enumeration Date
8 July 2005
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3618877000
Graduation Year
1997 (29 years ago)
PAC ID
7214094077
Group Practice PAC ID
0244214757
Professional Enrollment ID
I20090323000087
Address ID
TX784144116CO5742XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for KENNETH D. MATEJKA (M.D.)

  • 1812, South Alameda Street, Corpus Christi, Nueces County, Texas, 78404, United States

    CORPUS CHRISTI, TX 784042933

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Mailing

  • South Alameda Street, Corpus Christi, Nueces County, Texas, 78404, United States

    CORPUS CHRISTI, TX 784042933

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Location

  • 2000 Dr N W Atkinson Blvd Ste 801

    Alice, TX 783324241

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Location

  • 5742 Spohn Dr

    Corpus Christi, TX 784144116

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Location

  • 3929 River East Dr

    Corpus Christi, TX 784105101

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Location

  • 1776 Billy G Webb

    Portland, TX 783743706

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090323000087IDiagnostic RadiologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml73042$0
73721Mri scan of leg joint without contrast225209$0
93925Ultrasound of leg arteries or artery grafts102102$0
93880Ultrasound of both sides of head and neck blood flow100100$0
73130X-ray of hand, minimum of 3 views7854$0
View full utilization report →

Insurance plans in this area (ZIP 78404)

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Provider's Procedures

KENNETH D. MATEJKA (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX20610Aspiration and/or injection of large joint or joint capsule3023
DIAGNOSTIC RADIOLOGYTX73110X-ray of wrist, minimum of 3 views5247
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views6352
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views144127
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast2929

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244214757View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX

Reviews

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Frequently asked questions

Is there an official ID for KENNETH D. MATEJKA (M.D.) in U.S. healthcare records?
The official identifier for KENNETH D. MATEJKA (M.D.) is NPI 1043218639.
Would KENNETH D. MATEJKA (M.D.) appear as active to a payer?
You can treat KENNETH D. MATEJKA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KENNETH D. MATEJKA (M.D.)?
KENNETH D. MATEJKA (M.D.)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is KENNETH D. MATEJKA (M.D.) located near Corpus Christi?
KENNETH D. MATEJKA (M.D.) currently maps to Corpus Christi, Texas in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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