Individual provider Active NPI

Ameer Matariyeh

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1427544113
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
135.001021 Issued in IL
Practice address
1500 S. California Ave
Chicago, IL 60608
Phone
(773) 257-2158
NPI assigned
Jul 5, 2018
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 135.001021 IL Primary

Addresses

Primary practice location

1500 S. California Ave
Chicago, IL 60608

Mailing address

9028 S 55TH CT
Oak Lawn, IL 60453-1632
Phone (708) 655-9572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220916001839 CA Practitioner - Podiatry 3173928900 Reassigns benefits to 3 organizations
I20260108000333 OR Practitioner - Podiatry 3173928900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toetal Health Solutions Ca PCGroup PAC ID 4981180841, 2 clinicians
Toe-Tal Family Footcare AssociatesGroup PAC ID 9537253224, 6 clinicians
Bridge City Foot and Ankle LLCGroup PAC ID 3577975762, 3 clinicians

Practice addresses (Care Compare)

Vista, CA 92081
Phone (760) 666-8063

1512 Green Oak Rd
Vista, CA 92081-8740
Phone (760) 580-6733

4770 SW Watson Ave
Beaverton, OR 97005-0511
Phone (503) 427-8967

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
96.43 of 100Reported as group
Quality
72.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions207
Removal of nail tissue2849
Removal or shaving of skin growth1286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135.001021ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrasco Podiatry Corporation Podiatrist CurrentSince Jul 1, 2022 Accepting new patients
Toetal Health Solutions Ca PC CurrentSince Feb 1, 2026 Accepting new patients
Bridge City Foot & Ankle LLC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
Toe-Tal Family Footcare Associates Podiatrist CurrentSince Jan 1, 2023 Accepting new patients
Toe-Tal Family Footcare Past Accepting new patients

Locations

2604 El Camino Real
Ste 311
Carlsbad, CA 92008

10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481

4770 SW Watson Ave
Beaverton, OR 97005
Phone (503) 427-8967

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/509568/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1427544113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 S 55TH CT",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531632",
            "telephone_number": "708-655-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S. CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-257-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARIYEH",
        "first_name": "AMEER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135.001021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.