Individual provider Active NPI

Matthew Brett Hyatt, D.O.

  • Vascular & Interventional Radiology Physician
  • Jackson, MS
National Provider Identifier
1396156394
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
27446 Issued in MS
Practice address
1151 N State St Ste 404
Jackson, MS 39202-2457
Phone
(601) 292-4261
Fax
(601) 292-4262
NPI assigned
May 13, 2014
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X DO-06090 IA
Diagnostic Radiology Physician 2085R0202X 55769 MS
Vascular & Interventional Radiology Physician 2085R0204X DO-06090 IA
Vascular & Interventional Radiology Physician 2085R0204X 27446 MS Primary

Addresses

Primary practice location

1151 N State St Ste 404
Jackson, MS 39202-2457

Mailing address

111 Edenberg BND
Madison, MS 39110-2302
Phone (601) 319-6015

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 467-2868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MS, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150804004740 OK Practitioner - Interventional RadiologyPractitioner - Family Practice 4789998733 Reassigns benefits to 1 organization
I20200630001230 MS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4789998733 Reassigns benefits to 4 organizations
I20220622000494 AL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4789998733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
William Carey University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-06090IAMDDiagnostic Radiology Physician
55769MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Radiology Associates, PA CurrentSince Jun 1, 2022 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jul 11, 2022 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Feb 12, 2024 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Feb 12, 2024 Accepting new patients
Mercy Hospital Oklahoma City, Inc Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Lakeland Radiologists P a Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Jul 11, 2022 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jul 11, 2022 Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111

2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1151 N State St
Ste 404
Jackson, MS 39202
Phone (601) 292-4261

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1396156394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDENBERG BND",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102302",
            "telephone_number": "601-319-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST STE 404",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022457",
            "telephone_number": "601-292-4261",
            "fax_number": "601-292-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-467-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYATT",
        "first_name": "MATTHEW",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "DO-06090",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "55769",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "DO-06090",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MS",
            "license": "27446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.