NPI age
20 years
Enumerated 2005-06-09
● Active
Type 1 · Individual
DR. Matthew C Reeck, MD
Reeck is 1 of 4 dermatology providers in Ketchum and 1 of 102 in Idaho.
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
ID, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-02-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 102 active dermatology providers in Idaho.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
191 W 5th St
Ketchum, ID 833400000
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200310490 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.