NPIMap

Individual provider Active NPI

Matthew Pagni, MD

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1710320148
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2017-01445 Issued in NC
Practice address
1365 Westgate Center Dr Ste K1
Winston Salem, NC 27103-3106
Phone
(336) 760-4450
Fax
(336) 760-6197
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 2017-01445 NC Primary

Addresses

Primary practice location

1365 Westgate Center Dr Ste K1
Winston Salem, NC 27103-3106

Mailing address

1365 Westgate Center Dr Ste K1
Winston Salem, NC 27103-3106
Phone (336) 760-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607002556 NC Practitioner - Diagnostic Radiology 1850531211 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wake Forest University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

715 Summit St
Winston Salem, NC 27101-1118
Phone (216) 844-1700

Hospital & facility affiliations

  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Lake Health Hospital, Concord, OH, CCN 360098
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Mar 6, 2023 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Mar 6, 2023 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
Yadkin River Radiology PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Mar 6, 2023 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology PastSince Apr 1, 2020 Accepting new patients

Locations

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

861 Old Winston Rd
Ste 105
Kernersville, NC 27284
Phone (336) 765-5722

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722

1365 Westgate Center Dr
Ste K1
Winston Salem, NC 27103
Phone (336) 760-4450

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Interoperability endpoints

  • Direct secure messaging: mpagni639740@ehrdirect.uhhospitals.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 and National Provider Directory roles.

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1710320148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE K1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-760-4450",
            "fax_number": "336-760-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE K1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-760-4450",
            "fax_number": "336-760-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGNI",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2017-01445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.