DR. MATTHEW L VISCONTI M.D. NPI 1306883202

NPI Information

  • NPI: 1306883202
  • Provider Name: DR. MATTHEW L VISCONTI, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1114 CHARLEVOIX AVE
    PETOSKEY, MI
    ZIP 49770
  • Phone: (231) 439-9700

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NPI Details

DR. Matthew L Visconti, M.D. is a diagnostic radiology radiology in Petoskey, MI with 36 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Matthew L Visconti, M.D. NPI is 1306883202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

1114 CHARLEVOIX AVE
PETOSKEY, MI
ZIP 49770-701
Phone: (231) 439-9700
Fax: (231) 439-9709

The NPI 1306883202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Diagnostic mammography of both breasts (HCPCS:77066)

The enumeration date for this NPI number is 5/31/2006 and was last updated on 2/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology4301407390MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14926793MEDICAIDMICHIGAN
24356252MEDICAIDMICHIGAN
3P34680001MEDICARE PIN
40N43440MEDICARE ID-TYPE UNSPECIFIED
54732181MEDICAIDMICHIGAN
6P25410001MEDICARE PIN
7F21111MEDICARE UPIN
84777030MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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