NPIMap

Individual provider Active NPI

Matthew Aaron Haber, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1063892172
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD472496 Issued in PA
Practice address
2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone
(510) 683-9500
Fax
(877) 880-2039
NPI assigned
Jun 3, 2015
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 65377 CT
Diagnostic Radiology Physician 2085R0202X 54616 KY
Diagnostic Radiology Physician 2085R0202X 273743 MA
Diagnostic Radiology Physician 2085R0202X MD21348 HI
Diagnostic Radiology Physician 2085R0202X 2020-02755 NC
Diagnostic Radiology Physician 2085R0202X MD472496 PA Primary

Addresses

Primary practice location

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688

Mailing address

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone (844) 389-5711

Other practice location 1

55 Fruit St Rm 273A
Boston, MA 02114-2621
Phone (617) 726-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220617002193 PA Practitioner - Diagnostic Radiology 4385938836 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Radiology Group IncGroup PAC ID 7113817149, 31 clinicians
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

Glen Mills, PA 19342
Phone (903) 663-4800

1 Henley Dr
Glen Mills, PA 19342-2606
Phone (614) 293-8315

506 S 44TH St
Philadelphia, PA 19104-5292
Phone (510) 683-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65377CTMDDiagnostic Radiology Physician
MD21348HIMDDiagnostic Radiology Physician
54616KYMDDiagnostic Radiology Physician
273743MAMDDiagnostic Radiology Physician
2020-02755NCMDDiagnostic Radiology Physician
MD472496PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jul 11, 2025 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Jul 11, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 1, 2024 Accepting new patients
St Agnes Healthcare Inc Diagnostic Radiology CurrentSince Dec 10, 2025 Accepting new patients
Pacific Radiology Group Inc Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Rocky Hill Imaging Center, LLC Diagnostic Radiology PastSince Nov 15, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

1625 Stockton Blvd
Ste 207
Sacramento, CA 95816
Phone (916) 878-3945

321 N Kuakini St
Ste 405
Honolulu, HI 96817
Phone (808) 522-0190

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 6

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1063892172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "844-389-5711",
            "fax_number": "877-880-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "510-683-9500",
            "fax_number": "877-880-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St Rm 273A",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABER",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "65377",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "54616",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "273743",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD21348",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2020-02755",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD472496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.