Individual provider Active NPI

Matthew Edward Vanasco, MD

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1265403430
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34180 Issued in AZ
Practice address
677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone
(520) 795-2889
Fax
(520) 795-6321
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 34180 AZ
Diagnostic Radiology Physician 2085R0202X 34180 AZ Primary
Body Imaging Physician 2085B0100X 34180 AZ
Diagnostic Ultrasound Physician 2085U0001X 34180 AZ

Addresses

Primary practice location

677 N Wilmot Rd
Tucson, AZ 85711-2701

Mailing address

677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone (520) 795-2889

Other identifiers 7

IdentifierTypeStateIssuer
1841261989OtherAZGROUP NPI
005472OtherAZGROUP MEDICAID ID
943151MedicaidAZ
P00225955OtherAZMEDICARE RAILROAD
CS7943OtherAZGROUP MEDICARE RAILROAD ID & PTAN
ZWCBBMOtherAZGROUP MEDICARE ID
1265403430OtherAZPHYSICIAN INDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050706000042 AZ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9133193352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology LTD LLCGroup PAC ID 6204727589, 107 clinicians

Practice addresses (Care Compare)

677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone (520) 571-9599

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northern Cochise Community Hospital, Inc. Hospital, Willcox, AZ, CCN 031302
  • Benson Hospital Hospital, Benson, AZ, CCN 031301
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064

Merit-based Incentive Payment System (MIPS)

Final score
78.69 of 100Reported as group
Quality
75.27
Improvement activities
40
Cost
74.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34180AZMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology LTD., LLC Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Arizona Oncology Associates PC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
RLC LLC Body Imaging CurrentSince Sep 12, 2023 Accepting new patients
A R Imaging, S.C. Past Accepting new patients
Radiological Consultants of Woodstock LTD Body Imaging PastSince Apr 30, 2003 Accepting new patients

Locations

2551 E Vistoso Commerce Loop
Oro Valley, AZ 85755
Phone (520) 545-1966

3188 N Windsong Dr
Ste A
Prescott Valley, AZ 86314
Phone (928) 775-9430

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

6567 E Carondelet Dr
Ste 145
Tucson, AZ 85710
Phone (520) 290-4841

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5840 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 498-3900

677 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 571-9599

2675 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 260-0937

1598 W Commerce Ct
Tucson, AZ 85746

5960 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 290-4848

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

Organizations & group practices 5

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 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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1265403430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-795-2889",
            "fax_number": "520-795-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-795-2889",
            "fax_number": "520-795-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANASCO",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "34180",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "34180",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "AZ",
            "license": "34180",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AZ",
            "license": "34180",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1841261989",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID ID",
            "identifier": "005472",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943151",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00225955",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE RAILROAD ID & PTAN",
            "identifier": "CS7943",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID",
            "identifier": "ZWCBBM",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN INDIVIDUAL NPI",
            "identifier": "1265403430",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.