Active NPI
Matthew Christopher Hanewich, DO
- Cardiovascular Disease Physician
- Oak Lawn, IL
National Provider Identifier
1437649795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036.169242
- Practice address
- 4440 W 95TH St Ste 1126M
Oak Lawn, IL 60453-2600 - Phone
- (708) 684-5405
- NPI assigned
- May 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036.169242 | IL | Primary |
Addresses
Primary practice location
4440 W 95TH St Ste 1126M
Oak Lawn, IL 60453-2600
Mailing address
10837 S Cicero Ave FL 2
Oak Lawn, IL 60453-6458
Phone (708) 636-7575
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-4019
Other practice location 2
10837 S Cicero Ave Fl 2
Oak Lawn, IL 60453-6458
Phone (708) 636-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.169242 | IL | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- mhanewich210756@uihcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1437649795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10837 S CICERO AVE FL 2",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604536458",
"telephone_number": "708-636-7575",
"fax_number": "708-636-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 W 95TH ST STE 1126M",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532600",
"telephone_number": "708-684-5405"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-4019",
"fax_number": "319-353-8073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10837 S Cicero Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604536458",
"country_code": "US",
"telephone_number": "708-636-7575",
"fax_number": "708-636-6193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANEWICH",
"first_name": "MATTHEW",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-12",
"last_updated": "2024-04-02",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036.169242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.