Individual provider Active NPI

Matthew S Carducci, M.D.

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1093762338
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036067357 Issued in IL
Practice address
1888 Bay Scott Cir
Naperville, IL 60540-1106
Phone
(630) 527-6414
Fax
(630) 527-6411
NPI assigned
May 30, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036067357 IL Primary

Addresses

Primary practice location

1888 Bay Scott Cir
Naperville, IL 60540-1106

Mailing address

1888 Bay Scott Cir
Naperville, IL 60540-1106
Phone (630) 527-6414

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
I20040122001140 IL Practitioner - Family Practice 0244132900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1888 Bay Scott Cir
Naperville, IL 60540-1106
Phone (630) 527-6414

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036067357ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Medical Associates SC Family Medicine CurrentSince Nov 1, 1969 Accepting new patients
Patience for Patients Family Medicine CurrentSince Jan 1, 2013 Accepting new patients

Locations

1888 Bay Scott Cir
Naperville, IL 60540
Phone (630) 305-0010

1891 Bay Scott Cir
Ste 109
Naperville, IL 60540
Phone (630) 527-6400

640 S Washington St
Ste 140
Naperville, IL 60540
Phone (630) 527-6400

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1093762338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 BAY SCOTT CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401106",
            "telephone_number": "630-527-6414",
            "fax_number": "630-527-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 BAY SCOTT CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401106",
            "telephone_number": "630-527-6414",
            "fax_number": "630-527-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDUCCI",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036067357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.