Individual provider Active NPI

Matthew Caterine

  • Diagnostic Radiology Physician
  • Independence, MO
National Provider Identifier
1821087263
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2002000093 Issued in MO
Practice address
19609 E 9TH St S
Independence, MO 64056-3088
Phone
(816) 796-1412
Fax
(816) 796-3398
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2002000093 MO Primary
Body Imaging Physician 2085B0100X 2002000093 MO

Addresses

Primary practice location

19609 E 9TH St S
Independence, MO 64056-3088

Mailing address

14309 Woodson St
Overland Park, KS 66223-2692

Other identifiers 5

IdentifierTypeStateIssuer
205834203MedicaidMO
300129106OtherMORR MEDICARE
100414880BMedicaidKS
P00102244OtherMORR MEDICARE
P00313595OtherKSRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20040329001261 MO Practitioner - Diagnostic Radiology 5799677142 Reassigns benefits to 1 organization
I20051028000445 KS Practitioner - Diagnostic Radiology 5799677142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Centers PAGroup PAC ID 7416926613, shared by 2 NPIs, 28 clinicians

Practice addresses (Care Compare)

3937 Sherman Ave
Saint Joseph, MO 64506-3649
Phone (816) 444-9989

6650 W 110TH St
Suite 100
Overland Park, KS 66211-1501
Phone (913) 344-9989

Merit-based Incentive Payment System (MIPS)

Final score
54.06 of 100Reported as group
Quality
55.27
Promoting interoperability
0
Improvement activities
40
Cost
74.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002000093MOMDBody Imaging Physician
000093MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Centers, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Diagnostic Imaging Centers, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Medical Plaza Imaging Associates, LLC Body Imaging Past Accepting new patients

Locations

13795 S Mur Len Rd
Ste 100
Olathe, KS 66062
Phone (913) 344-9989

6650 W 110th St
Ste 100
Overland Park, KS 66211
Phone (913) 344-9989

4911 S Arrowhead Dr
Ste 100
Independence, MO 64055
Phone (816) 444-9989

4801 Main St
Ste 200
Kansas City, MO 64112
Phone (816) 444-9989

5500 N Oak Trfy
Ste 101
Kansas City, MO 64118
Phone (816) 452-4674

301 NE Mulberry St
Ste 100
Lees Summit, MO 64086
Phone (816) 444-9989

3937 Sherman Ave
Saint Joseph, MO 64506
Phone (816) 444-9989

Organizations & group practices 3

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1821087263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 WOODSON ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19609 E 9TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640563088",
            "telephone_number": "816-796-1412",
            "fax_number": "816-796-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATERINE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2002000093",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MO",
            "license": "2002000093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205834203",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300129106",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100414880B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00102244",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00313595",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.