Active NPI
Matthew Richard Gillott, M.D.
- Diagnostic Radiology Physician
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 78362
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201363790 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, 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 4
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
- Allina Health SystemSt. Joseph's Hospital and Health Center
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
- Regions Hospital
- M Health Fairview Southdale Hospital
- Essentia Health St Mary's Medical Center
- M Health Fairview St John's Hospital
- Park Nicollet Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 68 of 100
- Quality
- 80
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| Towner County Medical Center Inc | Current | Accepting new patients | |
| Lac Qui Parle Clinic of Madison Inc | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Pembina County Memorial Hospital Association | Current | Accepting new patients | |
| Suburban Imaging, LLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| P R Health Corporation | Current | Accepting new patients | |
| Lutheran Charity Association | Diagnostic Radiology | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Midwest Radiology Outpatient Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| St Joseph's Hospital and Health Center | Current | Accepting new patients | |
| X-Ray Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Ridgeview Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| St Josephs Hospital and Health Center | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Madison Healthcare Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Midwest Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | 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 | Past | 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.
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
dba Essentia Health Cloquet Clinic
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
IN
-
dba Clinicare
- Rural Health Clinic/Center
- Cavalier, ND
- NPI 1417093949
MN
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Southdale Hospital
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
dba Park Nicollet Methodist Hospital Outpatient Surgery Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
dba PN Methodist Hospital Episodic Bundle
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
dba Park Nicollet Melrose Center
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
dba Park Nicollet Melrose Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
-
dba HealthPartners Specialty Center Woodbury
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.