Individual provider Active NPI

Malcolm K Hatfield, MD

  • Diagnostic Radiology Physician
  • Greenfield, WI
National Provider Identifier
1629090410
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29922 Issued in WI
Practice address
7818 W Layton Ave
Greenfield, WI 53220-3709
Phone
(414) 281-1490
Fax
(414) 281-1491
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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 29922 WI Primary

Addresses

Primary practice location

7818 W Layton Ave
Greenfield, WI 53220-3709

Mailing address

7818 W Layton Ave
Greenfield, WI 53220-3709
Phone (414) 281-1490

Other identifiers 1

IdentifierTypeStateIssuer
31514200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150102000723 WI Practitioner - Diagnostic Radiology 7012944903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MH Imaging-Madison LLCGroup PAC ID 6608249289, 2 clinicians
MH Imaging-Racine LLCGroup PAC ID 5698990190, 2 clinicians

Practice addresses (Care Compare)

2277 Deming Way
Middleton, WI 53562-5510
Phone (608) 829-8299

2500 W Layton Ave
Milwaukee, WI 53221-5400
Phone (262) 261-9423

6800 Washington Ave
Suite B
Racine, WI 53406-3951
Phone (262) 321-7970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29922WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MH Imaging - Mke 3T CurrentSince Mar 1, 2025 Accepting new patients
MH Imaging-Racine LLC CurrentSince Jun 10, 2014 Accepting new patients
MH Imaging-Madison, LLC CurrentSince Jan 1, 2023 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology PastSince Jan 1, 2026 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc PastSince Mar 19, 2023 Accepting new patients

Locations

7600 75th St
Ste 103
Kenosha, WI 53142

2277 Deming Way
Middleton, WI 53562
Phone (608) 258-7840

2500 W Layton Ave
Ste 20
Milwaukee, WI 53221
Phone (262) 261-9423

2500 W Layton Ave
Milwaukee, WI 53221
Phone (414) 282-5314

6800 Washington Ave
Ste B
Racine, WI 53406
Phone (262) 321-7970

6800 Washington Ave
#B
Racine, WI 53406

Organizations & group practices 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1629090410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203709",
            "telephone_number": "414-281-1490",
            "fax_number": "414-281-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203709",
            "telephone_number": "414-281-1490",
            "fax_number": "414-281-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "MALCOLM",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "29922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31514200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.