Individual provider Active NPI

Matthew J Yociss, M.D.

  • Family Medicine Physician
  • Springfield, IL
National Provider Identifier
1326009440
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036109797 Issued in IL
Practice address
775 Engineering Ave
Springfield, IL 62703-5909
Phone
(217) 528-7541
NPI assigned
Mar 29, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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 036109797 IL Primary

Addresses

Primary practice location

775 Engineering Ave
Springfield, IL 62703-5909

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

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
I20040327000338 IL Practitioner - Family Practice 1254223811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylorville Memorial HospitalGroup PAC ID 8022914704, 13 clinicians

Practice addresses (Care Compare)

201 E Pleasant St
Taylorville, IL 62568-1562
Phone (217) 824-3331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109797ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylorville Memorial Hospital CurrentSince Dec 28, 2025 Accepting new patients
Midwest Emergency Department Specialists LTD CurrentSince Jun 28, 2010 Accepting new patients
Taylorville Memorial Hospital CurrentSince Jan 1, 2004 Accepting new patients
Taylorville Memorial Hospital CurrentSince Jan 1, 2004 Accepting new patients
Memorial Medical Center Past Accepting new patients
Springfield Clinic, LLP PastSince Nov 22, 2004 Accepting new patients

Locations

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/stvince-659560ec

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

Hospital & facility affiliations 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1326009440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ENGINEERING AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035909",
            "telephone_number": "217-528-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCISS",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.