Individual provider Active NPI

Matthew Eric Anderson, MD

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
National Provider Identifier
1427065176
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
L0750 Issued in TX
Practice address
12610 E Northwest Hwy
Dallas, TX 75228-8010
Phone
(469) 436-3650
Fax
(844) 846-8853
NPI assigned
Aug 2, 2006
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X L0750 TX Primary

Addresses

Primary practice location

12610 E Northwest Hwy
Dallas, TX 75228-8010

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-9729

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone (214) 645-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000420 TX Practitioner - Interventional RadiologyPractitioner - General PracticePractitioner - Diagnostic Radiology 0446257356 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MTV Ir PLLCGroup PAC ID 1456574235, 2 clinicians

Practice addresses (Care Compare)

9101 N Central Expy
Suite 550
Dallas, TX 75231-5947
Phone (469) 458-9800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Syed a Raza MD PLLC CurrentSince Sep 1, 2018 Accepting new patients
Southwest Medical Imaging PA CurrentSince Mar 1, 2020 Accepting new patients
Cardiac Cath Lab of Dallas, LP CurrentSince May 15, 2024 Accepting new patients
MTV Ir PLLC Vascular & Interventional Radiology CurrentSince Jan 1, 2020 Accepting new patients
RGV Radiology, PLLC PastSince Sep 1, 2019 Accepting new patients

Locations

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

3200 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 502-7300

19255 Park Row
Ste 201
Houston, TX 77084
Phone (281) 369-5262

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

4214 Andrews Hwy
Ste 103
Midland, TX 79703
Phone (432) 221-1301

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1427065176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-9729",
            "fax_number": "214-645-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 E NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752288010",
            "telephone_number": "469-436-3650",
            "fax_number": "844-846-8853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907208",
            "country_code": "US",
            "telephone_number": "214-645-9729",
            "fax_number": "214-645-9289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MATTHEW",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L0750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.