NPIMap

Individual provider Active NPI

Matthew Mikhail

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1558725929
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A154458 Issued in CA
Practice address
505 Parnassus Ave RM M-391
San Francisco, CA 94143-2204
Phone
(415) 353-1821
Fax
(415) 476-0616
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 A154458 CA Primary

Addresses

Primary practice location

505 Parnassus Ave RM M-391
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave RM M-391
San Francisco, CA 94143-2204
Phone (415) 353-1821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220823000175 CT Practitioner - Diagnostic Radiology 2163716689 Reassigns benefits to 3 organizations
I20230511000423 MA Practitioner - Diagnostic Radiology 2163716689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Yale University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging Specialists LLCGroup PAC ID 9234676164, 47 clinicians
Danbury Radiological Associates, PCGroup PAC ID 2264408533, 35 clinicians
Premier Imaging LLCGroup PAC ID 8820403637, 42 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (203) 426-3002

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7532

34 Maple St
Norwalk, CT 06850-3815
Phone (203) 748-0834

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154458CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince May 22, 2023 Accepting new patients
Advanced Imaging Specialists, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince May 22, 2023 Accepting new patients
Premier Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Danbury Radiological Associates, PC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1558725929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE RM M-391",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1821",
            "fax_number": "415-476-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE RM M-391",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1821",
            "fax_number": "415-476-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A154458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.