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DENISE PINE-MATTAS MD NPI 1659313989


NPI Information

NPI: 1659313989
Provider Name: DENISE PINE-MATTAS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
410 N 2ND ST
MARSHALL, IL
ZIP 62441
Phone: (217) 826-2361
Get Directions

Denise Pine-mattas, MD is a family medicine in Marshall, IL with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Denise Pine-mattas, MD NPI is 1659313989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2003

The provider's business location address is:

410 N 2ND ST
MARSHALL, IL
ZIP 62441-010
Phone: (217) 826-2361
Fax: (217) 826-2366

The NPI 1659313989 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, 2 views (HCPCS:71046)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 6/12/2006 and was last updated on 10/18/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine01060692AINDIANANo
2207Q00000XFamily Medicine036114511ILLINOISYes

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
1I74210MEDICARE UPINILLINOIS
2K39690MEDICARE PINILLINOIS
3P00459732OTHERILLINOISRR MEDICARE
4036114511MEDICAIDILLINOIS
5941090V7MEDICARE PININDIANA
6200876850MEDICAIDINDIANA
7P00459735MEDICARE PININDIANA
8130910LLMEDICARE PININDIANA
9854700HHHHMEDICARE PININDIANA
10P00459735OTHERINDIANARR MEDICARE
11P00459732MEDICARE PINILLINOIS
12252060A7MEDICARE PININDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.