Active NPI
Melvy S Mathew
- Diagnostic Radiology Physician
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 79345
- Practice address
- 2355 Hwy 36 W
Ste. 100
Roseville, MN 55113-3905 - Phone
- (652) 292-2000
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 22320 | ND | |
| Diagnostic Radiology Physician | 2085R0202X | 79345 | MN | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036135204 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 13397-320 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 325386 | NY |
Addresses
Primary practice location
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113-3905
Mailing address
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113-3905
Phone (652) 292-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NY, FL, MN, WI, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health SystemSt. Joseph'S Hospital and Health Center
Practice addresses (Care Compare)
Lisle, IL 60532
Phone (651) 292-2000
1110 Yankee Doodle Rd
Eagan, MN 55121-2092
Phone (651) 454-3970
1155 County Rd E E
Vadnais Heights, MN 55110-5191
Phone (612) 775-6200
1333 Heroes Way
Riverhead, NY 11901-2029
Phone (631) 727-2755
1333 Roanoke Ave
Riverhead, NY 11901-2029
Phone (631) 727-2755
1345 S Wabash Ave
Unit 503
Chicago, IL 60605-2575
Phone (309) 740-4272
1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860
14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000
14655 Galaxie Ave
Apple Valley, MN 55124-8602
150 Emerson Ave E
West St Paul, MN 55118-2535
Phone (651) 241-1800
1540 Lake St S
Forest Lake, MN 55025-2628
Phone (651) 464-7100
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 425-6155
166 E 4TH St
Suite 100
St Paul, MN 55101-1421
Phone (651) 292-2000
1880 N Frontage Rd
Hastings, MN 55033-2687
Phone (612) 775-6200
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5522
225 Smith Ave N
Suite 300
St Paul, MN 55102-2592
Phone (651) 241-5000
2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000
2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000
2925 Chicago Ave
Minneapolis, MN 55407-1321
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
3818 Dutch Creek LN
Johnsburg, IL 60051-5124
Phone (715) 387-5211
4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306
Hospital & facility affiliations
- Allina United Hospital
- M Health Fairview Southdale Hospital
- M Health Fairview St John'S Hospital
- M Health Fairview Ridges Hospital
- Regions Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036135204 | IL | MD | Diagnostic Radiology Physician |
Practice roles (60 of 62)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Illinois Radiological Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| St Josephs Hospital and Health Center | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary, LLC | Body Imaging | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Madison Healthcare Services | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Midwest Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Pembina County Memorial Hospital Association | Current | Accepting new patients | |
| Towner County Medical Center Inc | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| P R Health Corporation | Current | Accepting new patients | |
| Montefiore Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Suburban Imaging, LLC | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Lac Qui Parle Clinic of Madison Inc | Current | Accepting new patients | |
| Zwanger & Pesiri Radiology Group, LLP | Diagnostic Radiology | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Ridgeview Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Midwest Radiology Outpatient Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Lutheran Charity Association | Diagnostic Radiology | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Body Imaging | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Ridgeview Medical Center | Past | Accepting new patients |
Locations (25 of 60)
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748
27443 Network Pl
Chicago, IL 60673
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
975 E Nerge Rd
Ste S120
Roselle, IL 60172
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333
111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400
420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536
14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000
12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 68
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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
Diagnostic Radiology
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Rural Health Clinic/Center
- Cavalier, ND
- NPI 1417093949
MN
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1437312477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 HWY 36 W",
"address_2": "STE. 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133905",
"telephone_number": "652-292-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 HWY 36 W",
"address_2": "STE. 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133905",
"telephone_number": "652-292-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "MELVY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ND",
"license": "22320",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "79345",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036135204",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "13397-320",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "325386",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.