Individual provider Active NPI

Matthew David Herczyk, MD

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1942561584
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101255960 Issued in VA
Practice address
1250 E Marshall St
Richmond, VA 23298-5051
Phone
(804) 828-6831
Fax
(804) 628-1132
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 0101255960 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Richmond, VA 23298-5051

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NY, TN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180605001342 DC Practitioner - Diagnostic Radiology 7618117045 Reassigns benefits to 5 organizations
I20180607000434 MD Practitioner - Diagnostic Radiology 7618117045 Reassigns benefits to 2 organizations
I20200214001490 NY Practitioner - Diagnostic Radiology 7618117045 Reassigns benefits to 2 organizations
I20260617000064 TN Practitioner - Diagnostic Radiology 7618117045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
Imaging Specialists PLLCGroup PAC ID 0143218560, 39 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 620
Bethesda, MD 20817-1184
Phone (888) 601-0943

147 W 15TH St
New York, NY 10011-6749
Phone (212) 590-5900

315 W 57TH St
Suite LL4
New York, NY 10019-3149
Phone (212) 698-5300

67 Thomas Johnson Dr
Suite 4
Frederick, MD 21702-4862
Phone (888) 601-0943

750 Old Hickory Blvd
Suite 1 260
Brentwood, TN 37027-4528
Phone (615) 376-7500

750 Port St
Apt 710
Alexandria, VA 22314-2485
Phone (585) 218-8002

8812 Queens Blvd
Elmhurst, NY 11373-4489
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255960VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Oct 27, 2024 Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

27424 Network Pl
Chicago, IL 60673

10215 Fernwood Rd
Ste 620
Bethesda, MD 20817
Phone (301) 530-6646

4000 Mitchellville Rd
Ste A100
Bowie, MD 20716
Phone (301) 805-7000

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

9131 Piscataway Rd
Ste 370
Clinton, MD 20735
Phone (301) 868-7470

67 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 607-0444

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

Organizations & group practices 9

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942561584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-828-6831",
            "fax_number": "804-628-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCZYK",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101255960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.