HENRY MATTIS M.D. NPI 1932139292

NPI Information

NPI: 1932139292
Provider Name: HENRY MATTIS, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
Phone: (618) 233-6044
Get Directions

Henry Mattis, M.D. is a cardiovascular disease internal medicine in Belleville, IL. 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. Henry Mattis, M.D. NPI is 1932139292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220-900
Phone: (618) 233-6044
Fax: (618) 233-3297

The enumeration date for this NPI number is 7/3/2006 and was last updated on 7/5/2012.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	036061332	ILLINOIS	Yes

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
1	P05499	MEDICARE PIN	ILLINOIS
2	C41352	OTHER		MERCY
3	16272	OTHER	MISSOURI	BCBS MO
4	117064	OTHER		HEALTHLINK
5	42932	OTHER		CMR
6	C41352	MEDICARE UPIN	ILLINOIS
7	12475	OTHER		ESSENCE
8	1413735	OTHER		UHC
9	237612	OTHER		WELLCARE
10	596500013	MEDICARE PIN	ILLINOIS
11	3709969003	OTHER		GHP
12	060009692	OTHER		RR MEDICARE
13	096884	OTHER		HEALTH ALLIANCE
14	2507183	OTHER		SECURE HORIZONS
15	0360613321	MEDICAID	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »