Individual provider Active NPI

Matthew Paul Hale, D.O.

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1245443746
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.010424 Issued in OH
Practice address
3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214-3937
Phone
(614) 340-7747
Fax
(614) 340-7742
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 58-002217 OH
Diagnostic Radiology Physician 2085R0202X 5101019053 MI
Diagnostic Radiology Physician 2085R0202X 34.010424 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214-3937

Mailing address

100 E Campus View Blvd
Ste 160
Columbus, OH 43235-4647
Phone (614) 396-4750

Other identifiers 1

IdentifierTypeStateIssuer
1245443746MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000308 OH Practitioner - Diagnostic Radiology 1759569783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians

Practice addresses (Care Compare)

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-8400

110 E Howard St
Willard, OH 44890-1611
Phone (419) 964-5000

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8231

2800 Maple Ave
Zanesville, OH 43701-1716
Phone (614) 340-7740

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (614) 340-7740

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

4325 Glynwater LN
Hilliard, OH 43026-6220
Phone (614) 340-7740

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 340-7740

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 593-5551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019053MIMDDiagnostic Radiology Physician
34.010424OHMDDiagnostic Radiology Physician
58-002217OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2013 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Aug 13, 2021 Accepting new patients
North Central Ohio Radiology, LLC Diagnostic Radiology Past Accepting new patients
Dr TC Hobbs & Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

100 E Campus View Blvd
Ste 160
Columbus, OH 43235
Phone (614) 396-4750

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214
Phone (614) 340-7747

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1245443746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "address_2": "STE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354647",
            "telephone_number": "614-396-4750",
            "fax_number": "614-396-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "STE 5360",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-340-7747",
            "fax_number": "614-340-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "58-002217",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101019053",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.010424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245443746",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.