NPIMap

Individual provider Active NPI

Matthew W. Rose, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1548323173
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
83616 Issued in SC
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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 83616 SC Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200625000144 SC Practitioner - Diagnostic Radiology 2163844895 Reassigns benefits to 2 organizations
I20220825003133 VA Practitioner - Diagnostic Radiology 2163844895 Reassigns benefits to 4 organizations
I20250603002379 MN Practitioner - Diagnostic Radiology 2163844895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Radiologists Associated in Duluth LTDGroup PAC ID 4284547209, 45 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

Practice addresses (Care Compare)

Columbia, SC 29229
Phone (615) 312-0600

Mount Pleasant, SC 29464
Phone (615) 312-0600

1121 Buckingham Ave
Norfolk, VA 23508-1512
Phone (615) 312-0600

2525 Maple Hall CT
Midlothian, VA 23113-6385
Phone (336) 274-6682

3137 Stonewood Dr
Virginia Beach, VA 23456-1563
Phone (952) 595-1100

845 Tupelo Bay Dr
Mount Pleasant, SC 29464-8240
Phone (218) 722-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Association CurrentSince Oct 18, 2025 Accepting new patients
Mille Lacs Health System CurrentSince Jan 1, 2026 Accepting new patients
Lakewood Health System Current Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Radiologists Associated in Duluth LTD Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Mille Lacs Health System CurrentSince Jan 1, 2026 Accepting new patients
Radiological Group, PA Past Accepting new patients

Locations

10 Little Brook Rd
West Wareham, MA 02576

10 5th St SE
Cook, MN 55723
Phone (218) 626-3441

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

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1548323173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MATTHEW",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "83616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.