Individual provider Active NPI

Matthew C. Peterson, MD

  • Diagnostic Radiology Physician
  • Barrington, IL
National Provider Identifier
1679782361
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-147076 Issued in IL
Practice address
450 W Highway 22
Barrington, IL 60010-1919
Phone
(847) 842-4136
Fax
(847) 842-4161
NPI assigned
May 21, 2007
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036-147076 IL Primary
Diagnostic Radiology Physician 2085R0202X R-7653 IA
Diagnostic Radiology Physician 2085R0202X 39188 IA

Addresses

Primary practice location

450 W Highway 22
Barrington, IL 60010-1919

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

Good Shepherd Hospital
450 Il-22
Barrington, IL 60010
Phone (847) 381-0123

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address mpeterson234734@direct.myadvocateaurora.org Direct
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address mpeterson234734@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005000245 IL Practitioner - Diagnostic Radiology 3779775663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Imaging Consultants LLCGroup PAC ID 2567784408, 163 clinicians

Practice addresses (Care Compare)

1435 W Webster
Chicago, IL 60614-3049
Phone (317) 805-4093

1435 W Webster Ave
Chicago, IL 60614-3049
Phone (630) 368-1771

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

3021 N Sheffield Ave
Chicago, IL 60657-4419
Phone (872) 843-0550

3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420

350 Surryse Rd
Suite 100
Lake Zurich, IL 60047-3217
Phone (847) 438-2144

4025 N Western Ave
Chicago, IL 60618-3726
Phone (773) 275-7700

450 W Hwy 22
Neonatology
Barrington, IL 60010-1919
Phone (847) 381-0123

450 W Il Route 22
Barrington, IL 60010-1919
Phone (847) 842-4360

4847 Hoffman Blvd
Hoffman Estates, IL 60192-3722
Phone (317) 805-4093

836 W Wellington
Suite G346
Chicago, IL 60657-5147
Phone (773) 296-7147

836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 296-5907

900 W Nelson St
Chicago, IL 60657-6704
Phone (773) 296-7089

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39188IAMDDiagnostic Radiology Physician
R-7653IAMDDiagnostic Radiology Physician
036-147076ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Feb 1, 2026 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Aug 9, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 1, 2026 Accepting new patients
Chicago Northside Hospital MRI CurrentSince Sep 1, 2018 Accepting new patients
Physicians Dermpath Laboratory PastSince Aug 31, 2021 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

8930 Waukegan Rd
Ste 130
Morton Grove, IL 60053
Phone (847) 929-5453

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

Interoperability endpoints

  • Direct secure messaging: mpeterson234734@direct.myadvocateaurora.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1679782361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HIGHWAY 22",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101919",
            "telephone_number": "847-842-4136",
            "fax_number": "847-842-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Good Shepherd Hospital",
            "address_2": "450 IL-22",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "60010",
            "country_code": "US",
            "telephone_number": "847-381-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-147076",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "R-7653",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "39188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpeterson234734@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 W Highway 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "450 W Highway 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpeterson234734@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 IL-22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "450 IL-22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.