Mathew J. So, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

55169 Issued in MN

Practice address

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Phone

(651) 292-0000

NPI assigned

Oct 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI, ND3 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 3

Specialty

Diagnostic Radiology

Education

Mayo Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians

Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians

Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians

Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians

Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians

St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians

Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians

Madison Healthcare ServicesGroup PAC ID 9638080187, 29 clinicians

Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
• Regions Hospital Hospital, Saint Paul, MN, CCN 240106
• Altru Hospital Hospital, Grand Forks, ND, CCN 350019
• M Health Fairview St John's Hospital Hospital, Maplewood, MN, CCN 240210
• River Falls Area Hospital Hospital, River Falls, WI, CCN 521349

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 50)

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.

• Fairview Express Care

  dba M Health Fairview Recovery Clinic

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment Care Compare group NPD
• Grand Itasca Clinic and Hospital

  • General Acute Care Hospital
  • Grand Rapids, MN
  • NPI 1669426631
  Medicare reassignment Care Compare group NPD
• Madison Healthcare Services

  • Critical Access Hospital
  • Madison, MN
  • NPI 1942246848
  Medicare reassignment Care Compare group NPD
• Midwest Radiology Outpatient Imaging, LLC

  • Diagnostic Radiology Physician
  • Saint Paul, MN
  • NPI 1720059264
  Medicare reassignment Care Compare group NPD
• Midwest Radiology, PA

  • Diagnostic Radiology Physician
  • Roseville, MN
  • NPI 1952307175

  WI

  Medicare reassignment Care Compare group NPD
• Range Regional Health Services

  • Clinic/Center
  • Hibbing, MN
  • NPI 1669569265
  Medicare reassignment Care Compare group NPD
• Ridgeview Medical Center

  dba Ridgeview Medical Center CRNAs

  • Certified Registered Nurse Anesthetist
  • Waconia, MN
  • NPI 1528364429
  Medicare reassignment Care Compare group NPD
• Suburban Imaging, LLC

  • Radiology Clinic/Center
  • Roseville, MN
  • NPI 1427008937
  Medicare reassignment Care Compare group NPD
• Altru Health System

  dba Altru 1300 Columbia

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552

  MN

  Medicare reassignment Care Compare group NPD
• Lutheran Charity Association

  dba Jamestown Regional Medical Center Radiology

  • Diagnostic Radiology Physician
  • Jamestown, ND
  • NPI 1700038981

  MN

  Medicare reassignment Care Compare group NPD
• Marshfield Clinic Inc

  dba Marshfield Clinic Florida Teleradiology/Telehealth

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981

  MN

  Medicare reassignment Care Compare group
• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment NPD

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

• Allina Health System

  dba Minnesota Perinatal Physicians

  • Obstetrics & Gynecology Physician
  • Woodbury, MN
  • NPI 1063668937

  Hospital

  Care Compare affiliation
• Allina Health System

  dba Abbott Northwestern's Neuroscience Institute

  • Neurological Surgery Physician
  • Minneapolis, MN
  • NPI 1144264540

  Hospital

  Care Compare affiliation
• Allina Health System

  dba Allina Health Mental Health - United Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1265474704

  Hospital

  Care Compare affiliation
• Allina Health System

  dba Minnesota Perinatal Physicians

  • Obstetrics & Gynecology Physician
  • Saint Paul, MN
  • NPI 1275789091

  Hospital

  Care Compare affiliation
• Allina Health System

  dba Allina Health Cancer Institute - Saint Paul

  • Oncology Clinic/Center
  • Saint Paul, MN
  • NPI 1295182855

  Hospital

  Care Compare affiliation
• Allina Health System

  dba Allina Health Minneapolis Heart Institute

  • Specialist
  • Saint Paul, MN
  • NPI 1447550702

  Hospital

  Care Compare affiliation
• Allina Health System

  dba United Hospital

  • General Acute Care Hospital
  • Saint Paul, MN
  • NPI 1457319485
  Care Compare affiliation
• Allina Health System

  dba Allina Health Orthopedics

  • Orthopaedic Surgery Physician
  • Edina, MN
  • NPI 1508099656

  Hospital

  Care Compare affiliation
• Allina Health System

  dba Allina Health Cancer Institute - Hastings

  • General Acute Care Hospital
  • Hastings, MN
  • NPI 1508457045
  Care Compare affiliation
• Allina Health System

  dba St. Paul Cardiovascular Surgical Services

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1518173319

  Hospital

  Care Compare affiliation
• Allina Health System

  dba Allina Health Minneapolis Heart Institute

  • Cardiovascular Disease Physician
  • Saint Paul, MN
  • NPI 1588929079

  Hospital

  Care Compare affiliation
• Allina Health System

  dba John Nasseff Neuroscience Specialty Clinic

  • Neurological Surgery Physician
  • Saint Paul, MN
  • NPI 1619914207

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1215126503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "MATHEW",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "60597",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "55169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Nathan Smith, M.D.
• Maurice Bradley Smith, PH.D.,L.P.
• Quinesha Smith
• Sara Jean Smith
• Edward J Snyder Jr., HID
• Soaringhigh ABA MN LLC
• Siannan Sollars, PHARMD
• Soma Chiro LLC (Soma Chiro & Functional Medicine)
• Lashonda Watts Soma, M.D.
• Deepak Somashekar

• Diagnostic Radiology Physician in Roseville, MN
• Providers in Roseville, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.

Verify at the official NPI Registry.