Individual provider Active NPI

Matthew Thompson Alfano, MD

  • Diagnostic Radiology Physician
  • Denver, CO
National Provider Identifier
1659798643
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0064326 Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4597
Phone
(303) 602-4115
NPI assigned
Mar 27, 2014
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X DR.0064326 CO
Diagnostic Radiology Physician 2085R0202X 19780 NH
Diagnostic Radiology Physician 2085R0202X 34361 NH
Diagnostic Radiology Physician 2085R0202X DR.0064326 CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4597

Mailing address

777 Bannock St
Denver, CO 80204-4597
Phone (303) 602-4115

Other practice location 1

4802 10th Ave
Maimonides Medical Center
Brooklyn, NY 11219-2916
Phone (718) 283-7243

Other practice location 2

One Medical Center Dr
Dartmouth Hitchcock - Radiology
Lebanon, NH 03756
Phone (603) 650-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190731002489 NH Practitioner - Diagnostic Radiology 8224336862 Reassigns benefits to 2 organizations
I20200811001900 CO Practitioner - Diagnostic Radiology 8224336862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400

PO Box
Suite 810
Hanover, NH 03755-0810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
92.15
Promoting interoperability
100
Improvement activities
40
Cost
80.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2720NHMDPharmacist
34361NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 3, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jul 1, 2020 Accepting new patients
Dartmouth-Hitchcock Clinic Diagnostic Radiology CurrentSince Jul 3, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 26, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jul 1, 2020 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 3, 2019 Accepting new patients

Locations

1545 California St
Denver, CO 80202
Phone (347) 325-0338

777 Bannock St
Denver, CO 80204

777 Bannock St
#1926
Denver, CO 80204

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • Direct secure messaging: malfano233877@direct.dhha.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1659798643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-602-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-602-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Ave",
            "address_2": "Maimonides Medical Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192916",
            "country_code": "US",
            "telephone_number": "718-283-7243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Medical Center Dr",
            "address_2": "Dartmouth Hitchcock - Radiology",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "03756",
            "country_code": "US",
            "telephone_number": "603-650-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFANO",
        "first_name": "MATTHEW",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CO",
            "license": "DR.0064326",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "19780",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "34361",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0064326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.