Individual provider Active NPI

Matthew Ruyle, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1497736904
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2000146142 Issued in MO
Practice address
9930 Watson Rd
Saint Louis, MO 63126-1827
Phone
(314) 984-8827
Fax
(314) 984-0736
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2000146142 MO Primary

Addresses

Primary practice location

9930 Watson Rd
Saint Louis, MO 63126-1827

Mailing address

PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 984-8827

Other identifiers 11

IdentifierTypeStateIssuer
44925V3431OtherMOHEALTHCARE USA
144352OtherMOBCBS
189744OtherMOGHP
208745703MedicaidMO
7614525OtherMOAETNA
000000010614OtherMOESSENCE
036107200MedicaidIL
539150OtherHEALTHLINK
889862OtherMOMERCY CARE
H62074OtherMOMERCY
1602596OtherMOUHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040406000393 MO Practitioner - Diagnostic Radiology 7315930385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Imaging SpecialistsGroup PAC ID 0244577443, 5 clinicians

Practice addresses (Care Compare)

201 S Mount Auburn Rd
Suite B
Cape Girardeau, MO 63703-4912
Phone (573) 381-0790

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
79.66
Promoting interoperability
98
Improvement activities
40
Cost
76.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Center of Alton, LLC CurrentSince Aug 31, 2023 Accepting new patients
Midwest Imaging Center II, LLC CurrentSince Mar 1, 2015 Accepting new patients
Midwest Imaging Specialists CurrentSince Feb 1, 2019 Accepting new patients
Radiology and Imaging Management Services, LLC CurrentSince Jan 9, 2009 Accepting new patients
Therapeutic and Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Apr 19, 2007 Accepting new patients
MRI of Springfield, Inc CurrentSince Mar 11, 2020 Accepting new patients
Midwest Imaging Center, LLC CurrentSince Apr 1, 2019 Accepting new patients
Radiology Consultants of Mid-America, PC Diagnostic Radiology Past Accepting new patients

Locations

14825 North Outer 40 Rd
Ste 110
Chesterfield, MO 63017
Phone (636) 449-3990

201 S Mount Auburn Rd
Ste B
Cpe Girardeau, MO 63703
Phone (573) 381-0790

12101 Olive Blvd
Saint Louis, MO 63141
Phone (314) 514-0167

9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

Interoperability endpoints

  • Direct secure messaging: matthew.ruyle.p1@direct.essehealth.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1497736904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-984-8827",
            "fax_number": "314-984-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261827",
            "telephone_number": "314-984-8827",
            "fax_number": "314-984-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUYLE",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2000146142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "44925V3431",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "144352",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "189744",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208745703",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7614525",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "000000010614",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107200",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "539150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE",
            "identifier": "889862",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "H62074",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1602596",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.