Individual provider Active NPI

Matthew J Berst, M.D.

  • Diagnostic Radiology Physician
  • Moline, IL
National Provider Identifier
1962490813
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-115217 Issued in IL
Practice address
615 Valley View Dr
Suite 202
Moline, IL 61265-6150
Phone
(309) 762-1072
Fax
(309) 762-1094
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 63816-20 WI
Diagnostic Radiology Physician 2085R0202X 35386 IA
Diagnostic Radiology Physician 2085R0202X 036-115217 IL Primary

Addresses

Primary practice location

615 Valley View Dr
Suite 202
Moline, IL 61265-6150

Mailing address

615 Valley View Dr
Suite 202
Moline, IL 61265-6150
Phone (309) 762-1072

Other names 1

  • Matthew J Berst Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050707000655 IA Practitioner - Diagnostic Radiology 4789620170 Reassigns benefits to 2 organizations
I20060516000062 IL Practitioner - Diagnostic Radiology 4789620170 Reassigns benefits to 2 organizations
I20150402000564 WI Practitioner - Diagnostic Radiology 4789620170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Practice addresses (Care Compare)

1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (309) 762-1072

1500 Delhi St
Suite 4100
Dubuque, IA 52001-6362
Phone (309) 762-1072

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (309) 762-1072

304 Franklin St
Keosauqua, IA 52565-1164
Phone (309) 762-1072

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Phone (309) 762-1072

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (309) 762-1072

500 Messenger Rd
Keokuk, IA 52632-2117
Phone (309) 762-1072

507 S Monroe St
Lancaster, WI 53813-2054
Phone (309) 762-1072

5431 56TH Ave CT E
Bettendorf, IA 52722-1135
Phone (309) 762-1072

615 Valley View Dr
102 Metro MRI Ctr Limited Partnership
Moline, IL 61265-6150
Phone (309) 762-1072

6580 165TH St
Albia, IA 52531-8793
Phone (309) 762-1072

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Grant Regional Health Center Hospital, Lancaster, WI, CCN 521322
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35386IAMDDiagnostic Radiology Physician
63816-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro MRI Center Limited Partnership CurrentSince Jul 15, 2006 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 120
Bettendorf, IA 52722
Phone (563) 355-2210

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

615 Valley View Dr
Ste 101
Moline, IL 61265
Phone (309) 743-0445

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227

Interoperability endpoints

  • Direct secure messaging: mberst92100@direct.unitypoint.org

Organizations & group practices 4

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1962490813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656150",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656150",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERST",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "63816-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "35386",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-115217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "BERST",
            "middle_name": "J",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.