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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCMidwest Medical CenterMunson Medical GroupThe Radiology Clinic LLCMercy Radiologists of Dubuque PCUniversity of Louisville Physicians IncUpland Hills Health IncDCH Provider Services LLC
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
- Mercyone Elkader Medical Center
- Chandler Regional Medical Center
- Munson Medical Center
- Mercyone Dyersville Medical Center
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 |
|---|---|---|---|
| Midwest Medical Center | Current | Accepting new patients | |
| The Radiology Clinic LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| DCH Provider Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Radiologists of Dubuque, P.C. | Diagnostic Radiology | Current | 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. | Current | Accepting new patients | |
| Upland Hills Health, Inc | Current | Accepting new patients | |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| Radiology One Medical Group PC | Diagnostic Radiology | Current | 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
- mpipho279739@direct.unitypoint.org
- mpipho3935504@direct.trinity-health.org
- 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.
-
- Diagnostic Radiology Physician
- Dubuque, IA
- NPI 1013968205
Diagnostic Radiology, IA
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1700670197
Diagnostic Radiology, IA
-
- Diagnostic Radiology Physician
- Tuscaloosa, AL
- NPI 1649235243
Diagnostic Radiology, IA
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY
-
- Emergency Medicine Physician
- Dodgeville, WI
- NPI 1598163537
-
- Rural Health Clinic/Center
- Elizabeth, IL
- NPI 1295286045
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
- 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.