Active NPI
Paul Matter
- Certified Registered Nurse Anesthetist
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209025407
- Practice address
- 4309 W Medical Center Dr Ste A201
McHenry, IL 60050-8411 - Phone
- (815) 385-0084
- NPI assigned
- Apr 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209025407 | IL | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 041437972 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 041437972 | IL |
Addresses
Primary practice location
4309 W Medical Center Dr Ste A201
McHenry, IL 60050-8411
Mailing address
16928 Boulder Way
Macomb, MI 48042-3516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2425 W 22ND St
Suite 101
Oak Brook, IL 60523-4642
Phone (630) 990-2212
2550 W Algonquin Rd
Lake in the Hills, IL 60156-3503
Phone (847) 458-1246
2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041437972 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oak Brook Anesthesiologists, LTD. | Current | Accepting new patients | |
| Gip Anesthesia Services PLLC | Current | Accepting new patients | |
| Town Square Anesthesia LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huntley Anesthesia Associates LLC | Current | Accepting new patients |
Locations
1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150
22285 N Pepper Rd
Ste 312
Lake Barrington, IL 60010
Phone 84738206793336
22285 N Pepper Rd
Lake Barrington, IL 60010
Phone (224) 357-8133
1880 W Winchester Rd
Ste 104
Libertyville, IL 60048
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Oak Brook, IL
- NPI 1881705937
-
- Anesthesiology Physician
- Woodstock, IL
- NPI 1669471017
-
- Anesthesiology Physician
- Lake Barrington, IL
- NPI 1821733726
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1205282019
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Little Company of Mary Medical Center
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1477296556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16928 BOULDER WAY",
"city": "MACOMB",
"state": "MI",
"postal_code": "480423516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 W MEDICAL CENTER DR STE A201",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508411",
"telephone_number": "815-385-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTER",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-18",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209025407",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "IL",
"license": "041437972",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041437972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.