Individual provider Active NPI

Matthew C. Rheinboldt, MD

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1659449395
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
085399 Issued in MI
Practice address
2799 W. Grand Blvd
Henry Ford Dept of Radiology
Detroit, MI 48202-2689
Phone
(313) 916-7425
NPI assigned
Dec 1, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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 085399 MI Primary

Addresses

Primary practice location

2799 W. Grand Blvd
Henry Ford Dept of Radiology
Detroit, MI 48202-2689

Mailing address

2799 W. Grand Blvd
Henry Ford Dept of Radiology
Detroit, MI 48202-2689
Phone (313) 916-7425

Other identifiers 4

IdentifierTypeStateIssuer
MR085399OtherCHAMPUS-CHAMPUS
MR085399OtherCOMMERCIAL-COMMERCIAL NUMBER
473171010MedicaidMI
700H262300OtherBLUE CROSS-BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050615000379 MI Practitioner - Diagnostic Radiology 3173437209 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3800

16258 Fort St
Southgate, MI 48195-1401
Phone (734) 250-9062

26763 Ford Rd
Dearborn Heights, MI 48127-2840
Phone (313) 827-1022

27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

40463 S Groesbeck Hwy
Clinton Township, MI 48036-5005
Phone (586) 300-9114

71050 Van Dyke Rd
Bruce TWP, MI 48065-3898
Phone (586) 277-0244

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085399MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
VHS Physicians of Michigan CurrentSince May 22, 2023 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology CurrentSince Nov 17, 2018 Accepting new patients
Hurley Medical Center CurrentSince Jan 17, 2015 Accepting new patients
Henry Ford Health System Diagnostic Radiology CurrentSince Jun 24, 2005 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Hurley Medical Center CurrentSince Jan 17, 2015 Accepting new patients
Henry Ford Health System CurrentSince Jun 24, 2005 Accepting new patients
Hurley Medical Center Current Accepting new patients
Southwest Imaging Associates, Apmc Diagnostic Radiology Past Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

11166 Highland Rd
Hartland, MI 48353
Phone (248) 455-0865

Interoperability endpoints

  • Direct secure messaging: mrheinboldt16830@direct.hfhs.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1659449395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W. GRAND BLVD",
            "address_2": "HENRY FORD DEPT OF RADIOLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022689",
            "telephone_number": "313-916-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W. GRAND BLVD",
            "address_2": "HENRY FORD DEPT OF RADIOLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022689",
            "telephone_number": "313-916-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEINBOLDT",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "085399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "MR085399",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "MR085399",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473171010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.