Active NPI
James Robert Mattson, MD
- Emergency Medicine Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036166108
- Practice address
- 2650 Ridge Ave. Emergency Medicine
Evanston, IL 60201-1718 - Phone
- (847) 570-2114
- NPI assigned
- Apr 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 304319 | NY | |
| Emergency Medicine Physician | 207P00000X | 036166108 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave. Emergency Medicine
Evanston, IL 60201-1718
Mailing address
2650 Ridge Ave. Emergency Medicine
Evanston, IL 60201-1718
Phone (847) 570-2114
Other practice location 1
4901 Searle Pkwy
Skokie, IL 60077-5313
Phone (847) 982-6710
Other practice location 2
525 E 68th St
Emergency Medicine Residency
New York, NY 10065-4870
Phone (212) 746-4055
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | james.mattson@upmcdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, Irvine, California College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Lothrop St
Pittsburgh, PA 15213-2536
200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370
Hospital & facility affiliations
- Upmc Presbyterian Shadyside
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036166108 | IL | MD | Emergency Medicine Physician |
| 304319 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167
Interoperability endpoints
- james.mattson@upmcdirect.com
Organizations & group practices 12
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Emergency Medicine Physician
- New York, NY
- NPI 1124392238
-
- Rehabilitation Practitioner
- New York, NY
- NPI 1386980985
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- New York, NY
- NPI 1427398676
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1053848051
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Pittsburgh, PA
- NPI 1144384082
Hospital
-
- Psychiatric Hospital Unit
- Pittsburgh, PA
- NPI 1750390134
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1821007881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1396109971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE. EMERGENCY MEDICINE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE. EMERGENCY MEDICINE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2114"
}
],
"practiceLocations": [
{
"address_1": "4901 Searle Pkwy",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600775313",
"country_code": "US",
"telephone_number": "847-982-6710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 E 68th St",
"address_2": "Emergency Medicine Residency",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-4055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTSON",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-08",
"last_updated": "2024-10-04",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "304319",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036166108",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "james.mattson@upmcdirect.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.