Vera Helena Masutti, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036083100 Issued in IL

Practice address

800 Biesterfield Rd
Alexian Brothers Medical Center
Elk Grove, IL 60007

Phone

(847) 437-5500

Fax

(630) 734-1560

NPI assigned

Dec 2, 2005

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vmasutti6825@ssdirect.comhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Care Network Inc

  dba Powers Health Medical Group

  • Family Medicine Physician
  • Saint John, IN
  • NPI 1457610487
  Medicare reassignment NPD
• Midwest Emergency Associates de Paul LLC

  • Emergency Medicine Physician
  • Bridgeton, MO
  • NPI 1265479448
  NPD
• Mea Elk Grove LLC

  • Emergency Medicine Physician
  • Elk Grove, IL
  • NPI 1578556841
  NPD (past)
• Mea-SJ Care Centers, LLC

  • Emergency Medicine Physician
  • Lake in the Hills, IL
  • NPI 1275570806
  NPD (past)
• Midwest Emergency Associates, LLC

  • Emergency Medicine Physician
  • Hoffman Estates, IL
  • NPI 1437196623
  NPD (past)
• Rush Oak Park Hospital, Inc.

  dba Rush Oak Park Physicians Group

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1417914839
  NPD (past)
• Midwest Emergency Associates-Sylvania, LLC

  • Emergency Medicine Physician
  • Sylvania, OH
  • NPI 1417138496
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1073597142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87904",
            "address_2": "DEPT 2049",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60188",
            "telephone_number": "630-734-0200",
            "fax_number": "630-734-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "ALEXIAN BROTHERS MEDICAL CENTER",
            "city": "ELK GROVE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-437-5500",
            "fax_number": "630-734-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUTTI",
        "first_name": "VERA",
        "middle_name": "HELENA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036083100",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02003618A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J Gordon, MD
• Madhu Gupta
• Thomas J Hinkamp, MD
• Kuttoppilly N Krishnankutty, MD
• Roman Leung, DDS
• Mea Elk Grove LLC
• Medical Center Dental Assoc
• Koji Ohashi, MASSAGE THERAPIST
• John M Ortinau, MD
• Robert S. Kagan, M.D. SC

• Emergency Medicine Physician in Elk Grove, IL
• Providers in Elk Grove, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.