DR. MATTHEW THOMAS BENJAMIN SKALAK MD NPI 1215557665

NPI Information

  • NPI: 1215557665
  • Provider Name: DR. MATTHEW THOMAS BENJAMIN SKALAK, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 BARNES JEWISH HOSPITAL PLZ
    DIV SURG UROLOGY PED
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 454-6034

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NPI Details

DR. Matthew Thomas Benjamin Skalak, MD is an urology in Saint Louis, MO with 6 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Matthew Thomas Benjamin Skalak, MD NPI is 1215557665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2020

The provider's business location address is:

1 BARNES JEWISH HOSPITAL PLZ
DIV SURG UROLOGY PED
SAINT LOUIS, MO
ZIP 63110-003
Phone: (314) 454-6034
Fax: (314) 454-2876

The NPI 1215557665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2020 and was last updated on 10/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology2025012429MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200161346MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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