Active NPI
Vincent P Mathews, MD
- Diagnostic Radiology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 61934
- Practice address
- 9200 W Wisconsin Ave
Department of Radiology
Milwaukee, WI 53226-3522 - Phone
- (414) 805-3750
- Fax
- (414) 259-9290
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01036675A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 61934 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Department of Radiology
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Department of Radiology
Milwaukee, WI 53226-3522
Phone (414) 805-3750
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020170 | Other | IN | SIHO-351158723 |
| 108061 | Other | IN | HEALTH ALLIANCE-351158723 |
| 1033190624 | Medicaid | WI | |
| Q0071557 | Other | IN | CMOSHO351158723&352047427 |
| 300136991 | Other | IN | RR MEDICARE-351158723 |
| 000000492358 | Other | IN | ANTHEM 203778927 |
| 200067870 | Medicaid | IN | |
| 000000248977 | Other | IN | ANTHEM-351158723 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990
1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451
2315 E Moreland Blvd
Waukesha, WI 53186-2939
Phone (262) 532-5700
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300
3212 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 334-6165
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301
Phone (262) 532-1100
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
W180 N8065 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 255-2500
W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 253-2700
W180N8085 Town Hall Rd
Suite 301
Menomonee Falls, WI 53051-3518
Phone (262) 257-3200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036675A | IN | MD | Diagnostic Radiology Physician |
| 61934 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Northwest Radiology Network P C | Diagnostic Radiology | Past | Accepting new patients |
| St Vincent Northwest Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| St. Vincent Health Wellness and Preventive Care Institute, Inc. | Past | Accepting new patients | |
| Rush Memorial Hospital | Diagnostic Radiology | Past | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- vmathewsmd142965@direct.froedtert.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
dba Northwest Radiology Network
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1447259338
-
- Diagnostic Radiology Physician
- Fishers, IN
- NPI 1114978350
-
dba Ascension St. Vincent Wellness
- Occupational Medicine Physician
- Indianapolis, IN
- NPI 1710300033
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Froedtert Menomonee Falls Hospital
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
-
dba Froedtert Community Hospital
- General Acute Care Hospital
- Oak Creek, WI
- NPI 1134794506
-
dba Froedtert Community Hospital
- General Acute Care Hospital
- New Berlin, WI
- NPI 1730710898
-
dba Froedtert Community Hospital
- General Acute Care Hospital
- Pewaukee, WI
- NPI 1740805423
-
dba Froedtert Community Hospital
- General Acute Care Hospital
- Mequon, WI
- NPI 1902474430
-
dba CDI-Froedtert Memorial Lutheran Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
dba Froedtert West Bend Hospital
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1033190624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-3750",
"fax_number": "414-259-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-3750",
"fax_number": "414-259-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "VINCENT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01036675A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "61934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO-351158723",
"identifier": "020170",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE-351158723",
"identifier": "108061",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033190624",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMOSHO351158723&352047427",
"identifier": "Q0071557",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE-351158723",
"identifier": "300136991",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM 203778927",
"identifier": "000000492358",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200067870",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-351158723",
"identifier": "000000248977",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.