Individual provider Active NPI

Melvy S Mathew

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1437312477
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
79345 Issued in MN
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

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, ND6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20140717002057 IL Practitioner - Diagnostic Radiology 6103066758 Reassigns benefits to 9 organizations
I20231011001391 NY Practitioner - Diagnostic Radiology 6103066758 Reassigns benefits to 5 organizations
I20250725001738 FL Practitioner - Diagnostic Radiology 6103066758 Reassigns benefits to 2 organizations
I20250730001451 MN Practitioner - Diagnostic Radiology 6103066758 Reassigns benefits to 18 organizations
I20250730002489 WI Practitioner - Diagnostic Radiology 6103066758 Reassigns benefits to 2 organizations
I20250805002760 ND Practitioner - Diagnostic Radiology 6103066758 Reassigns benefits to 3 organizations

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
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Pembina County Memorial Hospital AssociationGroup PAC ID 4789643719, 142 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
St. Joseph'S Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

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 Hospital, Saint Paul, MN, CCN 240038
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207
  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036135204ILMDDiagnostic Radiology Physician

Practice roles (60 of 62)

OrganizationSpecialtyStatusNew patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
St Josephs Hospital and Health Center CurrentSince Aug 1, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 7, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 7, 2025 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Body Imaging CurrentSince Aug 25, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Madison Healthcare Services CurrentSince Sep 1, 2025 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Aug 1, 2025 Accepting new patients
Towner County Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Aug 1, 2025 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
P R Health Corporation Current Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Optum Medical Care, P.C. Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 1, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2025 Accepting new patients
Altru Health System CurrentSince Aug 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Oct 22, 2025 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Aug 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2025 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Suburban Imaging, LLC CurrentSince Aug 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Current Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Sep 3, 2023 Accepting new patients
Fairview Clinics Current Accepting new patients
Park Nicollet Clinic Current Accepting new patients
North Shore - Lij Medical PC CurrentSince May 7, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 28, 2025 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince Feb 7, 2024 Accepting new patients
Fairview Clinics CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
The Duluth Clinic LTD CurrentSince Oct 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 1, 2025 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Feb 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Oct 1, 2023 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Fairview Health Services Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 7, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Altru Health System CurrentSince Aug 1, 2025 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Body Imaging CurrentSince Dec 1, 2024 Accepting new patients
Fairview Health Services CurrentSince Aug 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Oct 22, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
Park Nicollet Clinic CurrentSince Jul 30, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2025 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.

View all 68

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

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

Verify at the official NPI Registry.