Matthew Raymond Minor, M.D.
Individual provider Active NPI Neuroradiology Physician · Anchorage, AK
NPI 1104149715 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1104149715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neuroradiology Physician 2085N0700X
- License
- 101175 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 Inc
Imaging Associates LLC
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
- Providence Alaska Medical Center
- Providence Kodiak Island Medical Ctr
- Providence Seward Hospital
- Providence Valdez Medical Center
- Mat-Su Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.5 of 100
- Quality
- 91.25
- Improvement activities
- 40
- Cost
- 44.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220405001514 | AK | Practitioner - Diagnostic Radiology | 6103133038 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101250253 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Alaska Radiology Associates Inc | Current |
Accepting new patients | |
| Imaging Associates, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Providence Imaging Center | Diagnostic Radiology | Current |
Accepting new patients |
Locations
3650 Piper St
Ste A
Anchorage, AK 99508
Phone (907) 339-9455
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
2280 S Woodworth Loop
Palmer, AK 99645
Phone (907) 565-8010
Interoperability endpoints
- mminor@direct.nshcorp.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101250253 | VA | |
| Neuroradiology Physician | 2085N0700X | 101175 | AK | Yes |
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
Other providers in Anchorage, AK
- Mindful Growth LLC
- Mindfully, LLC
- Mindtree Counseling
- Erin Mingrone
- Duke Minnery
- Robin Minoza
- David Minshall
- Mint Dental LLC
- Triin Minton
- Wesley Brant Minton
All providers in Anchorage, AK · Neuroradiology Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.