Daniela Matijevich, DPM,MS

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07001398A Issued in IN

Practice address

601 Gateway Blvd N
Chesterton, IN 46304-9658

Phone

(219) 921-1444

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Daniela Lazarevic Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians

Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Lakeshore Bone and Joint Institute, PCGroup PAC ID 3173500519, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

Merit-based Incentive Payment System (MIPS)

Final score

81.8 of 100Reported as group

Quality

81.02

Improvement activities

40

Cost

74.12

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Lakeshore Bone & Joint Institute, PC

  • Specialist
  • Chesterton, IN
  • NPI 1508853953
  Medicare reassignment Care Compare group NPD
• Chesterton Physical Therapy, Inc.

  • Physical Therapist
  • Chesterton, IN
  • NPI 1467608687
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• Porter Hospital LLC

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1386104826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W HOUGHTON DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463850015",
            "telephone_number": "219-577-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GATEWAY BLVD N",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049658",
            "telephone_number": "219-921-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIJEVICH",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "DPM,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07001398A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELA",
            "last_name": "LAZAREVIC",
            "prefix": "DR.",
            "credential": "DPM,MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Gail Martin, RPH, PHARMD
• Ashley Rose Martin, MSOT, OTR/L
• Rhea Mae Martin, WHNP
• Emilee Martinez
• Susan Louise Matejczyk
• Ashley Catherine Matthews
• Nichole Marie Matuszak, DPT
• Alexandra Demetria McBurnie, OD
• Nathan Daniel McCormack, PT, DPT
• Anthony M. McCrovitz, PH.D.

• Primary Podiatric Medicine Podiatrist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.