NPIMap

Individual provider Active NPI

Matthew Joseph Ross, MD

  • Neurological Surgery Physician
  • Warrenville, IL
National Provider Identifier
1316034010
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036072169 Issued in IL
Practice address
3S220 Warren Ave
Warrenville, IL 60555-2914
Phone
(630) 393-2222
Fax
(630) 393-2221
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036072169 IL Primary

Addresses

Primary practice location

3S220 Warren Ave
Warrenville, IL 60555-2914

Mailing address

3S220 Warren Ave
Warrenville, IL 60555-2914
Phone (630) 393-2222

Other identifiers 4

IdentifierTypeStateIssuer
140004322OtherRR MEDICARE
036072169MedicaidIL
1578685368OtherILCLINIC NPI
384010OtherILMEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000404 IL Practitioner - Neurosurgery 0345402178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3 S220 Warren Ave
Warrenville, IL 60555-2914
Phone (630) 393-2222

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Marianjoy Rehabilitation Center Inpatient rehabilitation facility, Wheaton, IL, CCN 143027

Merit-based Incentive Payment System (MIPS)

Final score
21.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion121
Laminectomy or laminotomy (partial removal of spine bones)73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036072169ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Neurosurgery & Spine Specialists, PC CurrentSince Aug 28, 2022 Accepting new patients
Neurosurgery Spine & Pain Assoc PC Neurological Surgery CurrentSince Apr 1, 1996 Accepting new patients

Locations

3S220 Warren Ave
Warrenville, IL 60555
Phone (630) 393-2222

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1316034010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3S220 WARREN AVE",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552914",
            "telephone_number": "630-393-2222",
            "fax_number": "630-393-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3S220 WARREN AVE",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552914",
            "telephone_number": "630-393-2222",
            "fax_number": "630-393-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036072169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "140004322",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072169",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1578685368",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "384010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.