Individual provider Active NPI

Alan Howard Matson, M. D.

  • Diagnostic Radiology Physician
  • Elgin, IL
National Provider Identifier
1316038813
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-095385 Issued in IL
Practice address
77 N Airlite St
Elgin, IL 60123-4912
Phone
(847) 931-5694
NPI assigned
Sep 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01067590A IN
Diagnostic Radiology Physician 2085R0202X 036-095385 IL Primary

Addresses

Primary practice location

77 N Airlite St
Elgin, IL 60123-4912

Mailing address

1121 Lake Cook Rd Ste M
Deerfield, IL 60015-5234
Phone (847) 945-4550

Other practice location 1

7905 Calumet Ave
Munster, IN 46321-1215
Phone (219) 836-5800

Other identifiers 5

IdentifierTypeStateIssuer
036095385OtherILSTATE LICENSE #
036095385MedicaidIL
1620188OtherILBC/BS
200971740AMedicaidIN
01067590AOtherINSTATE LICENSE

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
I20041110000588 IL Practitioner - Diagnostic Radiology 3173586138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rush Medical College of Rush University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians

Practice addresses (Care Compare)

6001 N Menard Ave
Chicago, IL 60646-3918
Phone (847) 637-8711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-095385ILMDDiagnostic Radiology Physician
01067590AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jul 17, 2025 Accepting new patients
Cdi Geneva LLC Diagnostic Radiology CurrentSince Sep 21, 2017 Accepting new patients
Associated Imaging Specialists Diagnostic Radiology CurrentSince Jun 1, 2014 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Jan 9, 2010 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jan 9, 2010 Accepting new patients
Diagnostic Radiology Specialists, S.C. Past Accepting new patients
Franciscan Medical Specialists Past Accepting new patients
Franciscan Hammond Clinic LLC Past Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

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

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

1121 Lake Cook Rd
Ste M
Deerfield, IL 60015
Phone (847) 945-4550

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1416 S Randall Rd
Ste 180
Geneva, IL 60134
Phone (630) 208-9325

607 Academy Dr
Northbrook, IL 60062

5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316038813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 LAKE COOK RD STE M",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155234",
            "telephone_number": "847-945-4550",
            "fax_number": "847-948-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N AIRLITE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234912",
            "telephone_number": "847-931-5694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7905 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211215",
            "country_code": "US",
            "telephone_number": "219-836-5800",
            "fax_number": "219-836-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSON",
        "first_name": "ALAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01067590A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-095385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "036095385",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095385",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1620188",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200971740A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01067590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.