Individual provider Active NPI

Matthew Gregory Pipho, M.D.

  • Diagnostic Radiology Physician
  • Verona, WI
National Provider Identifier
1285054064
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
66611-20 Issued in WI
Practice address
9306 Briar Haven Dr
Verona, WI 53593-8791
Phone
(000) 000-0000
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 66611-20 WI Primary

Addresses

Primary practice location

9306 Briar Haven Dr
Verona, WI 53593-8791

Mailing address

9306 Briar Haven Dr
Verona, WI 53593-8791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, IA, AL, KY, MO, MI7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20180727001547 WI Practitioner - Diagnostic Radiology 8022311919 Reassigns benefits to 2 organizations
I20200610000637 IL Practitioner - Diagnostic Radiology 8022311919 Reassigns benefits to 2 organizations
I20200612002576 IA Practitioner - Diagnostic Radiology 8022311919 Reassigns benefits to 3 organizations
I20250604001243 AL Practitioner - Diagnostic Radiology 8022311919 Reassigns benefits to 1 organization
I20250626003416 KY Practitioner - Diagnostic Radiology 8022311919 Reassigns benefits to 1 organization
I20260105000147 MO Practitioner - Diagnostic Radiology 8022311919 Reassigns benefits to 1 organization
I20260418000289 MI Practitioner - Diagnostic Radiology 8022311919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology One Medical Group PCGroup PAC ID 5496247793, 41 clinicians
Midwest Medical CenterGroup PAC ID 5698771848, 36 clinicians
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians
The Radiology Clinic LLCGroup PAC ID 0941101653, 44 clinicians
Mercy Radiologists of Dubuque PCGroup PAC ID 9436049152, 8 clinicians
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians
DCH Provider Services LLCGroup PAC ID 6800150517, 53 clinicians

Practice addresses (Care Compare)

Dubuque, IA 52003
Phone (918) 392-1702

1 Medical Ctr Dr
Galena, IL 61036-8118
Phone (815) 777-1340

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

11246 Alea LN
Dubuque, IA 52003-9449
Phone (800) 475-6112

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6000

224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 935-6181

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (319) 589-8000

302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 333-4661

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
  • Mercyone Elkader Medical Center Hospital, Elkader, IA, CCN 161319
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Mercyone Dyersville Medical Center Hospital, Dyersville, IA, CCN 161378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66611-20WIMDDiagnostic Radiology Physician
6028WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Medical Center CurrentSince Jul 1, 2020 Accepting new patients
The Radiology Clinic LLC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Jun 12, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 28, 2018 Accepting new patients
DCH Provider Services, LLC Diagnostic Radiology CurrentSince Mar 16, 2025 Accepting new patients
Mercy Radiologists of Dubuque, P.C. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
DCH Provider Services, LLC Current Accepting new patients
Upland Hills Health Inc Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Upland Hills Health, Inc CurrentSince Oct 1, 2025 Accepting new patients
Boone Physician Services, LLC CurrentSince Oct 24, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 28, 2018 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Midwest Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Radiology One Medical Group PC Diagnostic Radiology CurrentSince Oct 14, 2025 Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

7752 Solution Ctr
Chicago, IL 60677

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: mpipho279739@direct.unitypoint.org
  • Direct secure messaging: mpipho3935504@direct.trinity-health.org
  • Direct secure messaging: mpipho559853@direct-ehr-ssmhc.com

Organizations & group practices 33

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.

View all 33

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1285054064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 BRIAR HAVEN DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 BRIAR HAVEN DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938791",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPHO",
        "first_name": "MATTHEW",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "66611-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.