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MATTHEW A PASSALACQUA DO NPI 1639152457


NPI Information

NPI: 1639152457
Provider Name: MATTHEW A PASSALACQUA, DO
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-1700
Get Directions

Matthew A Passalacqua, DO is a vascular and interventional radiology radiology in Cleveland, OH with 35 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Matthew A Passalacqua, DO NPI is 1639152457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1989

The provider's business location address is:

11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-1700

The NPI 1639152457 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain (HCPCS:70450)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 11/25/2005 and was last updated on 10/30/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody Imaging34005244OHIONo
22085D0003XRadiologyDiagnostic Neuroimaging34005244OHIONo
32085U0001XRadiologyDiagnostic Ultrasound34005244OHIONo
42085H0002XRadiologyHospice and Palliative Medicine34005244OHIONo
52085N0700XRadiologyNeuroradiology34005244OHIONo
62085N0904XRadiologyNuclear Radiology34005244OHIONo
72085P0229XRadiologyPediatric Radiology34005244OHIONo
82085R0001XRadiologyRadiation Oncology34005244OHIONo
92085R0203XRadiologyTherapeutic Radiology34005244OHIONo
10207U00000XNuclear Medicine34005244OHIONo
11207UN0903XNuclear MedicineIn Vivo & In Vitro Nuclear Medicine34005244OHIONo
12207UN0901XNuclear MedicineNuclear Cardiology34005244OHIONo
13207UN0902XNuclear MedicineNuclear Imaging & Therapy34005244OHIONo
142085R0202XRadiologyDiagnostic Radiology34005244OHIONo
152085R0204XRadiologyVascular & Interventional Radiology34005244POHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000364066OTHEROHIOANTHEM ID
2000000550367OTHEROHIOANTHEM
35261551OTHEROHIOAETNA
4F59363MEDICARE UPINOHIO
5P00224514OTHEROHIORAILROAD MEDICARE
60924398MEDICAIDOHIO
7421816OTHEROHIOWELLCARE
8P00454367OTHEROHIORAILROAD MEDICARE
9PA4033035MEDICARE PINOHIO
100304914OTHEROHIOBCMH
11733909OTHEROHIOBUCKEYE
124033037MEDICARE PINOHIO

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: 4/28/2024

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