Vera Helena Masutti, DO
Individual provider Active NPI Emergency Medicine Physician · Elk Grove, IL
NPI 1073597142 · NPPES record last updated Nov 5, 2020
Key facts
- NPI
- 1073597142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036083100 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100729000486 | IN | Practitioner - Emergency Medicine | 5092612846 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036083100 | IL | MD | Emergency Medicine Physician |
| 02003618A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Emergency Associates de Paul LLC | Emergency Medicine | Current | Accepting new patients |
| Community Care Network Inc | Current |
Accepting new patients | |
| Mea-SJ Care Centers, LLC | Emergency Medicine | Past | Accepting new patients |
| Midwest Emergency Associates-Sylvania, LLC | Emergency Medicine | Past | Accepting new patients |
| Mea Elk Grove LLC | Emergency Medicine | Past | Accepting new patients |
| Rush Oak Park Hospital, Inc. | Past | Accepting new patients | |
| Midwest Emergency Associates, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
1946 45th St
Munster, IN 46321
Phone (219) 703-2420
7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723
1451 Morthland Dr
Ste D
Valparaiso, IN 46385
Phone (219) 286-3880
3800 Saint Mary Rd
Ste 102
Valparaiso, IN 46383
Phone (219) 286-3707
1451 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 286-3880
Interoperability endpoints
- vmasutti6825@ssdirect.comhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02003618A | IN | |
| Emergency Medicine Physician | 207P00000X | 036083100 | IL | Yes |
Addresses
Primary practice location
800 Biesterfield Rd
Alexian Brothers Medical Center
Elk Grove, IL 60007
Mailing address
PO Box 87904
Dept 2049
Carol Stream, IL 60188
Phone (630) 734-0200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036083100 | Medicaid | IL |
Other providers in Elk Grove, IL
- Mark J Gordon
- Madhu Gupta
- Thomas J Hinkamp
- Kuttoppilly N Krishnankutty
- Roman Leung
- Mea Elk Grove LLC
- Medical Center Dental Assoc
- Koji Ohashi
- John M Ortinau
- Robert S. Kagan, M.D. SC
All providers in Elk Grove, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.