Active NPI
Corey Ray Matthews, D.O.
- Pediatric Radiology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 69917
- Practice address
- 2525 Chicago Ave
Minneapolis, MN 55404-4518 - Phone
- (612) 813-6248
- Fax
- (612) 813-6397
- NPI assigned
- Aug 20, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | DR.0070390 | CO | |
| Pediatric Radiology Physician | 2085P0229X | 05514 | KY | |
| Pediatric Radiology Physician | 2085P0229X | 69917 | MN | Primary |
Addresses
Primary practice location
2525 Chicago Ave
Minneapolis, MN 55404-4518
Mailing address
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (612) 813-6248
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Other practice location 2
231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TN, CA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Minneapolis, MN 55404-4597
Phone (612) 813-6111
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0070390 | CO | MD | Pediatric Radiology Physician |
| 21194 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Pediatric Radiology | Current | Accepting new patients |
| University of California San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Kaleida Health | Diagnostic Radiology | Current | Accepting new patients |
| Childrens Health Care | Current | Accepting new patients | |
| Children's Health Care | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Childrens Health Care Services Inc | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Past | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Dept 1061
Denver, CO 80256
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
6050 Clearwater Dr
Minnetonka, MN 55343
Phone (952) 930-8600
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
Interoperability endpoints
- cmatthews24389@mlh.direct-ci.com
Organizations & group practices 17
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.
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
MN
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
- Radiology Clinic/Center
- Minneapolis, MN
- NPI 1093994030
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
-
- Radiology Clinic/Center
- Minnetonka, MN
- NPI 1528167491
-
dba Kaleida Health Outpatient Pharmacy
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1063888345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044518",
"telephone_number": "612-813-6248",
"fax_number": "612-813-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044518",
"telephone_number": "612-813-6248",
"fax_number": "612-813-6397"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "231 E Chestnut St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021821",
"country_code": "US",
"telephone_number": "502-629-7650",
"fax_number": "502-629-7663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTHEWS",
"first_name": "COREY",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-20",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CO",
"license": "DR.0070390",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "KY",
"license": "05514",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MN",
"license": "69917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.