Individual provider Active NPI

Matthew Lee Knecht

  • Radiation Oncology Physician
  • Beavercreek, OH
National Provider Identifier
1942569041
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.130527 Issued in OH
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

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
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

IdentifierTypeStateIssuer
0226528MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170622003007 OH Practitioner - Radiation Oncology 8325316904 Reassigns benefits to 1 organization

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
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

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 Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368
  • Kettering Health Greene Memorial Hospital, Xenia, OH, CCN 360026

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
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

LicenseStateTypeSpecialty
35.130527OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.