NPIMap

Individual provider Active NPI

Matthew Raymond Minor, M.D.

  • Neuroradiology Physician
  • Anchorage, AK
National Provider Identifier
1104149715
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
101175 Issued in AK
Practice address
3650 Piper St Ste a
Anchorage, AK 99508-4651
Phone
(907) 339-9455
Fax
(907) 339-9445
NPI assigned
Mar 10, 2010
Last updated
May 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101250253 VA
Neuroradiology Physician 2085N0700X 101175 AK Primary

Addresses

Primary practice location

3650 Piper St Ste a
Anchorage, AK 99508-4651

Mailing address

3650 Piper St Ste a
Anchorage, AK 99508-4651
Phone (907) 339-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20220405001514 AK Practitioner - Diagnostic Radiology 6103133038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Radiology Associates IncGroup PAC ID 0648182725, 37 clinicians
Imaging Associates LLCGroup PAC ID 4284641986, 23 clinicians

Practice addresses (Care Compare)

3650 Piper St
Suite a
Anchorage, AK 99508-4651
Phone (907) 339-9455

3650 Piper St
Suite a
Anchorage, AK 99508-4692
Phone (901) 222-4624

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.5 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
44.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250253VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Radiology Associates Inc CurrentSince Feb 1, 2022 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Imaging Associates, LLC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Providence Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3650 Piper St
Ste A
Anchorage, AK 99508
Phone (907) 339-9455

2280 S Woodworth Loop
Palmer, AK 99645
Phone (907) 565-8010

Interoperability endpoints

  • Direct secure messaging: mminor@direct.nshcorp.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1104149715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 PIPER ST STE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084651",
            "telephone_number": "907-339-9455",
            "fax_number": "907-339-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 PIPER ST STE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084651",
            "telephone_number": "907-339-9455",
            "fax_number": "907-339-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "MATTHEW",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101250253",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AK",
            "license": "101175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.