Individual provider Active NPI

Matthew Richard Gillott, M.D.

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1447559984
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
78362 Issued in MN
Practice address
2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Mar 23, 2011
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01077062A IN
Diagnostic Radiology Physician 2085R0202X 78362 MN Primary

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 (651) 292-2000

Other practice location 1

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-4600

Other identifiers 1

IdentifierTypeStateIssuer
201363790MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MN, WI, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160711001704 IN Practitioner - Diagnostic Radiology 2567751787 Reassigns benefits to 7 organizations
I20250304003666 MN Practitioner - Diagnostic Radiology 2567751787 Reassigns benefits to 21 organizations
I20250305000568 WI Practitioner - Diagnostic Radiology 2567751787 Reassigns benefits to 3 organizations
I20250306001663 ND Practitioner - Diagnostic Radiology 2567751787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2011
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
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46220
Phone (651) 292-2000

1155 County Rd E E
Vadnais Heights, MN 55110-5191
Phone (612) 775-6200

11850 Blackfoot St NW
Coon Rapids, MN 55433-2773

14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000

14655 Galaxie Ave
Apple Valley, MN 55124-8602

1540 Lake St S
Forest Lake, MN 55025-2628
Phone (651) 464-7100

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

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

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

2450 Riverside Ave
Minneapolis, MN 55454-1450

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

2925 Chicago Ave
Minneapolis, MN 55407-1321

4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306

4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 483-5461

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

4300 Edgewood Dr NE
St Michael, MN 55376-4588
Phone (763) 744-4000

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (651) 292-2013

5673 Broadway St
Indianapolis, IN 46220-3072
Phone (800) 782-8581

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68 of 100Reported as group
Quality
80
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Fairview Health Services Current Accepting new patients
Altru Health System CurrentSince Mar 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Park Nicollet Clinic CurrentSince May 27, 2025 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Altru Health System CurrentSince Mar 1, 2025 Accepting new patients
Towner County Medical Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Jan 31, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Mar 1, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Mar 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince May 1, 2025 Accepting new patients
The Duluth Clinic LTD CurrentSince May 1, 2025 Accepting new patients
Allina Health System CurrentSince Mar 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2025 Accepting new patients
Fairview Clinics Current Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Mar 26, 2025 Accepting new patients
Allina Health System CurrentSince Mar 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Mar 1, 2025 Accepting new patients
Suburban Imaging, LLC CurrentSince Mar 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Mar 26, 2025 Accepting new patients
Allina Health System CurrentSince Mar 1, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Mar 1, 2025 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Mar 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Apr 1, 2025 Accepting new patients
P R Health Corporation Current Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Apr 23, 2025 Accepting new patients
Fairview Health Services CurrentSince Mar 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Apr 1, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
X-Ray Consultants Inc Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Fairview Health Services CurrentSince Mar 1, 2025 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2025 Accepting new patients
St Josephs Hospital and Health Center CurrentSince Mar 1, 2025 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Madison Healthcare Services CurrentSince Jan 31, 2025 Accepting new patients
Allina Health System CurrentSince Mar 1, 2025 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 1, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Mar 1, 2025 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
Range Regional Health Services Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Mar 1, 2025 Accepting new patients
Suburban Radiologic Consultants, LTD. Past Accepting new patients

Locations (25 of 53)

5924 Reliable Pkwy
Chicago, IL 60686

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991

121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123

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

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

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

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

Organizations & group practices 55

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 55

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1447559984",
    "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": "651-292-2000",
            "fax_number": "651-292-2175"
        },
        {
            "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": "651-292-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-4600",
            "fax_number": "317-948-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLOTT",
        "first_name": "MATTHEW",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01077062A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "78362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201363790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.