Active NPI
Matthew Lee Knecht
- Radiation Oncology Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 35.130527
- Practice address
- 3525 Pentagon Blvd
Ste 101
Beavercreek, OH 45431-1705 - Phone
- (937) 702-4060
- Fax
- (937) 702-4069
- NPI assigned
- May 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 35.130527 | OH | Primary |
Addresses
Primary practice location
3525 Pentagon Blvd
Ste 101
Beavercreek, OH 45431-1705
Mailing address
3700 Southern Blvd Ste 101
Kettering, OH 45429-1226
Phone (937) 281-3810
Other practice location 1
3700 Southern Blvd Ste 101
Kettering, OH 45429-1226
Phone (937) 281-3810
Other practice location 2
3700 Southern Blvd Ste 201
Kettering, OH 45429-1265
Phone (855) 500-2873
Other practice location 3
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
Other practice location 4
600 W Main St Ste 150
Troy, OH 45373-3384
Phone (937) 980-7053
Other practice location 5
600 W Main St Ste 150
Troy, OH 45373-3384
Phone (937) 980-7053
Other practice location 6
3700 Southern Blvd Ste 201
Kettering, OH 45429-1265
Phone (855) 500-2873
Other practice location 7
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0226528 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mknecht594231@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Loma Linda University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
600 W Main St
Troy, OH 45373-3384
Hospital & facility affiliations
- Soin Medical Center
- Kettering Health Dayton
- Kettering Health Main Campus
- Kettering Health Troy
- Kettering Health Greene Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.130527 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients |
Locations
3525 Pentagon Blvd
Ste 101
Beavercreek, OH 45431
Phone (937) 702-4060
3535 Pentagon Blvd
Ste 101
Beavercreek, OH 45431
Phone (937) 702-4000
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
3700 Southern Blvd
Ste 101
Kettering, OH 45429
Phone (937) 281-3810
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
3700 Southern Blvd
Ste 201
Kettering, OH 45429
Phone (855) 500-2873
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
600 W Main St
Troy, OH 45373
Phone (937) 395-6665
600 W Main St
Ste 150
Troy, OH 45373
Phone (937) 980-7053
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Xenia, OH
- NPI 1255317848
-
- General Acute Care Hospital
- Troy, OH
- NPI 1023587045
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942569041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 SOUTHERN BLVD STE 101",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291226",
"telephone_number": "937-281-3810",
"fax_number": "937-281-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 PENTAGON BLVD",
"address_2": "STE 101",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454311705",
"telephone_number": "937-702-4060",
"fax_number": "937-702-4069"
}
],
"practiceLocations": [
{
"address_1": "3700 Southern Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291226",
"country_code": "US",
"telephone_number": "937-281-3810",
"fax_number": "937-281-3812",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 Southern Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291265",
"country_code": "US",
"telephone_number": "855-500-2873",
"fax_number": "937-281-3913",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291221",
"country_code": "US",
"telephone_number": "937-395-8646",
"fax_number": "937-522-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St Ste 150",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453733384",
"country_code": "US",
"telephone_number": "937-980-7053",
"fax_number": "937-980-7057",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St Ste 150",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453733384",
"country_code": "US",
"telephone_number": "937-980-7053",
"fax_number": "937-980-7057",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 Southern Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291265",
"country_code": "US",
"telephone_number": "855-500-2873",
"fax_number": "937-281-3913",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291221",
"country_code": "US",
"telephone_number": "937-395-8646",
"fax_number": "937-522-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNECHT",
"first_name": "MATTHEW",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2022-07-21",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35.130527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0226528",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mknecht594231@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3525 Pentagon Blvd",
"address_2": "Ste 101",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454311705",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3525 Pentagon Blvd",
"address_2": "Ste 101",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454311705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.