Individual provider Active NPI

Matthew Jaye Gish, M.D.

  • Diagnostic Radiology Physician
  • Manhattan, KS
National Provider Identifier
1871737544
Registry record updated Apr 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
32456 Issued in KS
Practice address
1133 College Ave Ste E120
Manhattan, KS 66502-2781
Phone
(785) 539-7641
NPI assigned
Apr 26, 2009
Last updated
Apr 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 32456 KS Primary

Addresses

Primary practice location

1133 College Ave Ste E120
Manhattan, KS 66502-2781

Mailing address

1133 College Ave Ste E120
Manhattan, KS 66502-2781
Phone (785) 539-7641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20090923000197 KS Practitioner - Diagnostic Radiology 9133275787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Radiology LLPGroup PAC ID 7214983907, 6 clinicians

Practice addresses (Care Compare)

1133 College Ave
Suite C143
Manhattan, KS 66502-2751
Phone (785) 539-7641

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32456KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Radiology, LLP Diagnostic Radiology CurrentSince Jul 29, 2009 Accepting new patients

Locations

1133 College Ave
Ste A104
Manhattan, KS 66502

1133 College Ave
Ste C143
Manhattan, KS 66502
Phone (785) 537-4940

1133 College Ave
Ste E120
Manhattan, KS 66502
Phone (785) 539-7641

1133 College Ave
Ste G110
Manhattan, KS 66502
Phone (785) 565-4707

Interoperability endpoints

  • Direct secure messaging: mgish99813@stormontvaildirect.org

Organizations & group practices 1

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 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": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240704000000",
    "number": "1871737544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE E120",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022781",
            "telephone_number": "785-539-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE E120",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022781",
            "telephone_number": "785-539-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISH",
        "first_name": "MATTHEW",
        "middle_name": "JAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2009-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "32456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.