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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GREGG R MATTISON M.D.
NPI 1023062130
Radiology - Diagnostic Radiology in Fort Wayne, IN

Active since May 22, 2006
3707 NEW VISION DRIVE, FORT WAYNE, IN 46895(260) 471-9466(260) 484-5919 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregg R Mattison M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGG R MATTISON M.D. (NPI 1023062130) is an individual diagnostic radiology provider in Fort Wayne, Indiana, licensed in Indiana (35188) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1023062130
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. GREGG R MATTISONCredential: M.D.
Location Address3707 NEW VISION DRIVEFort Wayne, IN 46895-5602
Mailing Address2200 Randallia DrFort Wayne, IN 46805-4638 · (260) 373-4731
Phone(260) 471-9466
Fax(260) 484-5919
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1023062130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 35188
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3707 NEW VISION DRIVE, Fort Wayne, IN 46895
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Other Identifiers 4

Other000000092615IN · Anthem
Medicaid2100630OH
Medicaid4074924100MI
Other1554IN · Php

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregg Mattison's NPI number?

The NPI number for Gregg Mattison is 1023062130. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Gregg Mattison located?

Gregg Mattison practices at 3707 New Vision Drive, Fort Wayne, IN 46895. The listed phone number is (260) 471-9466.

What is Gregg Mattison's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Gregg Mattison was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.