MARIO GERARD MASSULLO D.O. NPI 1043228158

NPI Details

Mario Gerard Massullo, D.O. is a cardiovascular disease internal medicine in Kankakee, IL with 38 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mario Gerard Massullo, D.O. NPI is 1043228158. 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:1988

The provider's business location address is:

1710 W. COURT ST.
KANKAKEE, IL
ZIP 60901
Phone: (815) 936-3200
Fax: (815) 936-3203

The NPI 1043228158 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.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
• Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Blood test, clotting time (HCPCS:85610)
• Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
• Anticoagulant management of patient taking warfarin (HCPCS:93793)
• Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
• Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
• Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
• Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
• Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
• Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
• Review by radiologist of both arms or legs arteries image (HCPCS:75716)
• Review by radiologist of abdominal aorta image (HCPCS:75625)
• Review by radiologist of pelvis artery image (HCPCS:75736)
• Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS:93351)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
• Coronary angioplasty and stenting (HCPCS:NAN05)
• Pacemaker insertion or repair (HCPCS:NAN10)
• Varicose vein removal (HCPCS:NAN08)
• Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 8/4/2006 and was last updated on 10/27/2021.

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:

Other Identifiers

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