Matthew J Grant, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

204686 Issued in LA

Practice address

2311 Kaliste Saloom Rd
Lafayette, LA 70508-6807

Phone

(337) 231-5775

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Diagnostic Radiology

Education

Louisiana State University School of Medicine in New Orleans, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Imaging Associates of Louisiana Apm LLCGroup PAC ID 0345273355, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafayette Surgical Specialty Hospital Hospital, Lafayette, LA, CCN 190259

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medical Imaging Associates of Louisiana, Apm LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1083601207

  Diagnostic Radiology, LA

  Medicare reassignment Care Compare group NPD
• Acadiana Imaging Services LLC

  • Radiology Clinic/Center
  • Lafayette, LA
  • NPI 1710756911
  NPD
• Ogh Imaging, LLC

  • Radiology Clinic/Center
  • Grand Coteau, LA
  • NPI 1598791188
  NPD
• Premier Diagnostic Solutions, LLC

  • Diagnostic Ultrasound Physician
  • Thibodaux, LA
  • NPI 1902321755
  NPD
• Precision Radiology Management of Louisiana LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1477792893

  Diagnostic Radiology

  NPD (past)
• Optimal Readings Professional Services, LLC

  • Diagnostic Radiology Physician
  • Waycross, GA
  • NPI 1912052192

  Diagnostic Radiology

  NPD (past)

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

• Lafayette Surgical Hospital LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1134222565

  Hospital

  Care Compare affiliation
• Lafayette Surgical Hospital, LLC

  • Specialist
  • Lafayette, LA
  • NPI 1255736492

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1902010093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53134",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053134",
            "telephone_number": "337-261-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086807",
            "telephone_number": "337-231-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "204686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1216844",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold J Granger, M.D.
• Kandase Granger, LMT
• M. Charisse Granger
• Taima Kiona Granger
• Gretchen Grant
• Shalini Grant, MD
• Devin R Grantham, PLPC
• Emily Boriskie Graser, FNP-BC
• Gray Matters Counseling, LLC
• Melissa Gray

• All providers in Lafayette, LA
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.