Individual provider Active NPI

Matthew Danneman, MD

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1821209115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
57007474 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 584-1000
Fax
(513) 584-3778
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 57007474 OH Primary

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

234 Goodman St # 0796
Cincinnati, OH 45219-2364
Phone (513) 584-0841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20090112000049 OH Practitioner - Diagnostic Radiology 9133282593 Reassigns benefits to 2 organizations
I20170306001675 KY Practitioner - Diagnostic Radiology 9133282593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1000

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

12029 Sheraton LN
Cincinnati, OH 45246-1611
Phone (888) 271-3826

12037 Sheraton LN
Springdale, OH 45246-1611
Phone (513) 671-3320

1275 N High St
Hillsboro, OH 45133-8273
Phone (888) 522-4514

1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (888) 271-3826

2507 Legends Way
Crestview Hills, KY 41017-2371
Phone (832) 422-9562

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8200

3000 Mack Rd
Fairfield, OH 45014-5335
Phone (513) 870-7000

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-1650

401 N Ewing St
Fairfield Medical Center
Lancaster, OH 43130-3372
Phone (614) 228-7231

580 Walnut St
Apt 33
Cincinnati, OH 45202-3111
Phone (917) 968-0931

601 Ivy Gtwy
Cincinnati, OH 45245-1898
Phone (513) 947-1130

6476 Tylersville Rd
West Chester, OH 45069-5412
Phone (315) 745-9316

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57007474OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 1, 2015 Accepting new patients

Locations (25 of 31)

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

3131 Queen City Ave
Cincinnati, OH 45238
Phone (513) 557-3209

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

201 Old Bank Rd
Milford, OH 45150
Phone (513) 248-0100

154 Health Partners Cir
Mount Orab, OH 45154
Phone (513) 981-4700

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

12621 Eckel Junction Rd
Perrysburg, OH 43551
Phone (419) 794-4760

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

Interoperability endpoints

  • Direct secure messaging: mdanneman18265@direct.bsmhealth.org

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.

Hospital & facility affiliations 6

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821209115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST # 0796",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-1000",
            "fax_number": "513-584-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEMAN",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "57007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.