Individual provider Active NPI

Matthew Jared Ranzer, MD

  • Plastic and Reconstructive Surgery Physician
  • Chicago, IL
National Provider Identifier
1083939987
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
036129724 Issued in IL
Practice address
820 S Wood St
Suite 515 CSN
Chicago, IL 60612-4325
Phone
(312) 996-9313
Fax
(312) 413-0495
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 036129724 IL Primary

Addresses

Primary practice location

820 S Wood St
Suite 515 CSN
Chicago, IL 60612-4325

Mailing address

820 S Wood St
Suite 515 CSN
Chicago, IL 60612-4325
Phone (312) 996-9313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20150608002004 IL Practitioner - Plastic and Reconstructive Surgery 7214258896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians

Practice addresses (Care Compare)

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656

2653 W Ogden Ave
FL 3 Suite a
Chicago, IL 60608-1647
Phone (773) 257-6672

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 499-2070

840 S Wood St MC
958 Uic Surgery
Chicago, IL 60612-4325
Phone (312) 355-0104

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036129724ILMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2015 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 1, 2015 Accepting new patients
The Board of Trustees of the University of Illinois Plastic and Reconstructive Surgery CurrentSince Jun 1, 2015 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 18, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mount Sinai Community Foundation Plastic and Reconstructive Surgery CurrentSince Jul 1, 2015 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
The Board of Trustees of the University of Illinois Past Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

820 S Wood St
Ste 515
Chicago, IL 60612
Phone (312) 996-9313

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

1309 S Halsted St
Chicago, IL 60607
Phone (312) 413-3000

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

840 S Wood St
#958
Chicago, IL 60612
Phone (312) 355-1493

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

2850 W 95th St
Ste 102
Evergreen Pk, IL 60805
Phone (708) 422-6200

2850 W 95th St
Ste 406
Evergreen Pk, IL 60805
Phone (708) 422-5090

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: mranzer17401@uihealth.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1083939987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S WOOD ST",
            "address_2": "SUITE 515 CSN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-9313",
            "fax_number": "312-413-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S WOOD ST",
            "address_2": "SUITE 515 CSN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-9313",
            "fax_number": "312-413-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANZER",
        "first_name": "MATTHEW",
        "middle_name": "JARED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036129724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.