NPIMap

Individual provider Active NPI

Matthew John Hegewald, DO

  • Vascular & Interventional Radiology Physician
  • Silverdale, WA
National Provider Identifier
1013270347
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
OP60874910 Issued in WA
Practice address
2916 NW Bucklin Hill Rd Ste 381
Silverdale, WA 98383-8514
Phone
(360) 813-6021
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X OP60874910 WA Primary

Addresses

Primary practice location

2916 NW Bucklin Hill Rd Ste 381
Silverdale, WA 98383-8514

Mailing address

2916 NW Bucklin Hill Rd Ste 381
Silverdale, WA 98383-8514
Phone (360) 813-6021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181026001411 WA Practitioner - Diagnostic Radiology 9931485265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Medical Imaging Consultants, PLLCGroup PAC ID 8820984552, 17 clinicians

Practice addresses (Care Compare)

2520 Cherry Ave
Bremerton, WA 98310-4229
Phone (360) 337-6500

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005

Merit-based Incentive Payment System (MIPS)

Final score
78.76 of 100Reported as group
Quality
90
Improvement activities
40
Cost
47.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60874910WAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Medical Imaging Consultants, PLLC CurrentSince Sep 1, 2018 Accepting new patients
Quality Medical Imaging of Utah, Inc. CurrentSince Jun 28, 2023 Accepting new patients
Quality Medical Imaging of Texas, Inc CurrentSince Jul 1, 2023 Accepting new patients
Quality Medical Imaging of Washington Inc CurrentSince Jun 28, 2023 Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Jun 27, 2023 Accepting new patients

Locations

21 NE Romance Hill Rd
Belfair, WA 98528
Phone (360) 277-2950

2700 Clare Ave
Bremerton, WA 98310
Phone (360) 479-6555

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

450 S Kitsap Blvd
Ste 110
Port Orchard, WA 98366
Phone (360) 337-6500

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

2916 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone (360) 813-6021

1780 NW Myhre Rd
Ste 1220
Silverdale, WA 98383
Phone (360) 337-6500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1013270347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 NW BUCKLIN HILL RD STE 381",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838514",
            "telephone_number": "360-813-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 NW BUCKLIN HILL RD STE 381",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838514",
            "telephone_number": "360-813-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGEWALD",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "OP60874910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.