Individual provider Active NPI

Matthew W. Morris, M.D.

  • Diagnostic Radiology Physician
  • Charleston, WV
National Provider Identifier
1043454820
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26383 Issued in WV
Practice address
1120 Kanawha Blvd E
Charleston, WV 25301-2400
Phone
(304) 344-3457
Fax
(304) 344-3480
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26383 WV Primary

Addresses

Primary practice location

1120 Kanawha Blvd E
Charleston, WV 25301-2400

Mailing address

PO Box 11137
Charleston, WV 25339-1137
Phone (304) 344-3457

Other identifiers 1

IdentifierTypeStateIssuer
3810029130MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220331002472 KY Practitioner - Diagnostic Radiology 1658518170 Reassigns benefits to 1 organization
I20250109002837 IN Practitioner - Diagnostic Radiology 1658518170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Alliance of Louisville PSCGroup PAC ID 1951214220, 25 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-7601

3605 Northgate CT
Suite 110
New Albany, IN 47150-6400
Phone (812) 949-5749

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as group
Quality
92.64
Improvement activities
40
Cost
68.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26383WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Alliance of Louisville PSC Diagnostic Radiology CurrentSince Mar 17, 2022 Accepting new patients
Radiology Associates of Murray, PLLC Diagnostic Radiology Past Accepting new patients

Locations

3118 E 10th St
Ste A
Jeffersonville, IN 47130
Phone (812) 280-9355

101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196

3605 Northgate Ct
Ste 110
New Albany, IN 47150
Phone (812) 949-5749

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

4915 Norton Healthcare Blvd
Ste 101
Louisville, KY 40241

3901 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 896-2120

234 E Gray St
Ste 850
Louisville, KY 40202

Organizations & group practices 2

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1043454820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11137",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391137",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012400",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MATTHEW",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "26383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810029130",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.