Active NPI
Matthew Gregory Pipho, M.D.
- Diagnostic Radiology Physician
- Verona, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 66611-20
- Practice address
- 9306 Briar Haven Dr
Verona, WI 53593-8791 - Phone
- (000) 000-0000
- NPI assigned
- Apr 21, 2014
- Last updated
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66611-20 | WI | MD | Diagnostic Radiology Physician |
| 6028 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Radiologists of Dubuque, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Upland Hills Health, Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| DCH Provider Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| The Radiology Clinic LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Radiology One Medical Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Upland Hills Health Inc | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| DCH Provider Services, LLC | Current | Accepting new patients |
Locations
849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6907
2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500
3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165
809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
7752 Solution Ctr
Chicago, IL 60677
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
- mpipho279739@direct.unitypoint.org
- mpipho3935504@direct.trinity-health.org
- mpipho559853@direct-ehr-ssmhc.com
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Upland Hills Health Center
- Surgery Physician
- Dodgeville, WI
- NPI 1821258740
-
- Internal Medicine Physician
- Tuscaloosa, AL
- NPI 1982103974
-
- Diagnostic Radiology Physician
- Dubuque, IA
- NPI 1013968205
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Diagnostic Radiology Physician
- Traverse City, MI
- NPI 1851243901
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
dba UHH Emergency Physicians
- Emergency Medicine Physician
- Dodgeville, WI
- NPI 1598163537
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Elkader Medical Center
- Critical Access Hospital
- Elkader, IA
- NPI 1184645434
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba MercyOne Dubuque Medical Center
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
dba MercyOne Dyersville Medical Center
- Critical Access Hospital
- Dyersville, IA
- NPI 1205816725
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.