Individual provider Active NPI

Mathew David Wiener, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1376563676
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31406 Issued in NC
Practice address
3643 N Roxboro St
Durham, NC 27704-2702
Phone
(919) 470-5272
Fax
(919) 470-5271
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners Imaging Center of Sarasota LLC 14 clinicians

Practice addresses (Care Compare)

1250 S Tamiami TRL
Sarasota, FL 34239-2221
Phone (941) 951-2100

5101 4TH Ave Circle E
Suite 100
Bradenton, FL 34208-5625
Phone (941) 782-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051117001022 NC Practitioner - Diagnostic Radiology 8022005123 Reassigns benefits to 2 organizations
I20240816002294 FL Practitioner - Diagnostic Radiology 8022005123 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31406NCMDDiagnostic Radiology Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Partners Imaging Center of Sarasota LLC Diagnostic Radiology CurrentSince Aug 5, 2024 Accepting new patients
Gainesville Open MRI Center Inc CurrentSince Jul 16, 2025 Accepting new patients
Titan MRI LLC CurrentSince Jun 1, 2024 Accepting new patients
Coastline Imaging LLC Diagnostic Radiology CurrentSince Apr 15, 2026 Accepting new patients
Durham Radiology Associates, Inc. Diagnostic Radiology CurrentSince Oct 24, 2021 Accepting new patients
Titan MRI LLC CurrentSince Jun 1, 2024 Accepting new patients
Partners Imaging Center of Bradenton Past Accepting new patients
Durham Diagnostic Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

5101 4th Avenue Cir E
Ste 100
Bradenton, FL 34208
Phone (941) 782-0414

1250 S Tamiami Trl
Ste 101
Sarasota, FL 34239
Phone (941) 951-2100

1250 S Tamiami Trl
Ste 103
Sarasota, FL 34239
Phone (941) 894-3332

5107 Southpark Dr
Ste 101
Durham, NC 27713
Phone (919) 471-8905

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2609 N Duke St
Ste 303
Durham, NC 27704
Phone (919) 220-5109

4323 Ben Franklin Blvd
Ste 500
Durham, NC 27704
Phone (919) 471-4840

Networks

  • Freedom Health HMO Network

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 31406 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

4020 Westchase Blvd
Suite 390
Raleigh, NC 27607-3938
Phone (919) 834-2767

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8987346MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2026.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1376563676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 WESTCHASE BLVD",
            "address_2": "SUITE 390",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073938",
            "telephone_number": "919-834-2767",
            "fax_number": "919-834-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042702",
            "telephone_number": "919-470-5272",
            "fax_number": "919-470-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "MATHEW",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "31406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987346",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.