Individual provider Active NPI

Matthew Haskell, DO

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1578060778
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036.157244 Issued in IL
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-4242
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 036.157244 IL Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

4405 Oak Creek Dr
Austin, TX 78727-2830
Phone (801) 471-8443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230809003410 IL Practitioner - Diagnostic Radiology 4385995497 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Practice addresses (Care Compare)

18516 Clyde Rd
Homewood, IL 60430-3016
Phone (404) 252-4709

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (309) 671-8282

600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 671-8282

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.157244ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince Jun 16, 2025 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jun 16, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jun 16, 2025 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients

Locations

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

Interoperability endpoints

  • Direct secure messaging: mhaskell345679@uchospital.direct-ci.com

Organizations & group practices 4

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 3

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1578060778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 OAK CREEK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787272830",
            "telephone_number": "801-471-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.157244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.