Individual provider Active NPI

Matthew Freeman, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1144462870
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125052551 Issued in IL
Practice address
5318 North Austin Avenue
Chicago, IL 60630-1119
Phone
(773) 919-6461
NPI assigned
Mar 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125052551 IL Primary

Addresses

Primary practice location

5318 North Austin Avenue
Chicago, IL 60630-1119

Mailing address

5318 N Austin Ave
Chicago, IL 60630-1119

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
I20140729000802 IL Practitioner - Emergency Medicine 3870627110 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125052551ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community First Healthcare of Illinois, Inc. Emergency Medicine CurrentSince Mar 17, 2020 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Mar 17, 2020 Accepting new patients
Columbia Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Denali Emergency Medicine Assoc PC Emergency Medicine Past Accepting new patients
24-7 Emergency Care, PC Past Accepting new patients
Scheuber Road Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1144462870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 N AUSTIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 NORTH AUSTIN AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301119",
            "telephone_number": "773-919-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-26",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125052551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.