Monif Moussa Matouk, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5321 Issued in CA

Practice address

400 W I St Ste C
Los Banos, CA 93635-3459

Phone

(209) 827-2766

NPI assigned

May 18, 2006

Last updated

May 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KD Medical Group IncGroup PAC ID 2860553468, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prohealth Home Care, Inc Home health agency, Stockton, CA, CCN 059612
• Memorial Hospital Los Banos Hospital, Los Banos, CA, CCN 050528
• Mercy Medical Center Hospital, Merced, CA, CCN 050444

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mmatouk360220@hisp.ehr.sutterhealth.org
• Direct secure messaging: monif.matouk.1@3550.direct.athenahealth.com
• Direct secure messaging: monif.matouk.2@3550.direct.athenahealth.com
• Direct secure messaging: monif.matouk.3@3550.direct.athenahealth.com

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.

• KD Medical Group Inc

  dba Padres Medical Imaging,Inc.

  • Family Medicine Physician
  • Los Banos, CA
  • NPI 1457522567
  Medicare reassignment Care Compare group NPD
• Total Care Podiatry Services, Inc.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Merced, CA
  • NPI 1003469370
  Medicare reassignment NPD Authorized official
• Karthikeya Devireddy MD Inc

  dba apex medical group inc

  • Rural Health Clinic/Center
  • Los Banos, CA
  • NPI 1518089507
  Medicare reassignment NPD
• KD Medical Group Inc

  dba Foot & Ankle Podiatric & Orthopedic Care

  • Podiatrist
  • Los Banos, CA
  • NPI 1306372198
  NPD
• Apex Annex Health Center,Inc

  • Rural Health Clinic/Center
  • Los Banos, CA
  • NPI 1215484142
  NPD (past)
• Dos Palos Apex Health Center Inc

  • Rural Health Clinic/Center
  • Dos Palos, CA
  • NPI 1831623453
  NPD (past)
• Emergency Foot Care LLC

  • Podiatrist
  • Stockton, CA
  • NPI 1952175424
  NPD (past)
• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  NPD (past)
• Home Physicians PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1811998438

  Podiatrist

  NPD (past)
• Little Company of Mary Affiliated Services Inc

  dba Little Co of Mary Affiliated

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1588617260
  NPD (past)
• Midwest Orthopedic Consultants SC

  dba Midwest Orthopaedic Consultants SC

  • Orthopaedic Surgery Physician
  • Orland Park, IL
  • NPI 1457373953
  NPD (past)
• St James Hospital and Health Center

  • Psychiatric Hospital
  • Olympia Fields, IL
  • NPI 1679590160
  NPD (past)

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

• Dignity Health

  dba Mercy Medical Center Merced

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191
  Care Compare affiliation
• Prohealth Home Care, Inc

  • Home Health Agency
  • Stockton, CA
  • NPI 1538507587
  Care Compare affiliation
• Prohealth Home Care, Inc

  • Home Health Agency
  • Stockton, CA
  • NPI 1952855447
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Memorial Hospital Los Banos

  • General Acute Care Hospital
  • Los Banos, CA
  • NPI 1366896300
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1689627879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353479",
            "telephone_number": "209-826-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W I ST STE C",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353459",
            "telephone_number": "209-827-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 S Damen Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081169",
            "country_code": "US",
            "telephone_number": "773-292-4800",
            "fax_number": "312-738-1624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W I St Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353459",
            "country_code": "US",
            "telephone_number": "209-827-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "93635",
            "country_code": "US",
            "telephone_number": "209-826-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353479",
            "country_code": "US",
            "telephone_number": "209-826-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353479",
            "country_code": "US",
            "telephone_number": "209-826-6444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Golden Gate Ave",
            "address_purpose": "LOCATION",
            "city": "Dos Palos",
            "state": "CA",
            "postal_code": "936202329",
            "country_code": "US",
            "telephone_number": "209-392-0022",
            "fax_number": "209-392-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOUK",
        "first_name": "MONIF",
        "middle_name": "MOUSSA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "5321",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016005096",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Martinez
• Miguel Martinez, M.S., BCBA
• Lizbeth Mata-Avila
• Audrey M Mata
• Ashish K Mathew
• Sarah Ann S Matouk, D.P.M.
• Kurtis Leigh McWilliams, LMFT
• Diana M Medina
• Magali Medina
• Memorail Hospital of Los Banos

• Podiatrist in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.