Active NPI
Matthew Weyenberg, D.O.
- Clinical Cardiac Electrophysiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 207RC0001X
- Practice address
- 3134 N Clark St
Chicago, IL 60657-4414 - Phone
- (312) 766-4949
- NPI assigned
- Mar 8, 2017
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 02006194A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 207RC0001X | IL | Primary |
Addresses
Primary practice location
3134 N Clark St
Chicago, IL 60657-4414
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mweyenberg299723@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mweyenberg250064@Direct.FranciscanAlliance.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420
6434 W N Ave
Chicago, IL 60707-4030
Phone (773) 836-3000
836 W Wellington
Suite G346
Chicago, IL 60657-5147
Phone (773) 296-7147
836 W Wellington Ave
Chicago, IL 60657-5147
Hospital & facility affiliations
- Advocate Illinois Masonic Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207RC0001X | IL | MD | Clinical Cardiac Electrophysiology Physician |
| 02006194A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
3134 N Clark St
Chicago, IL 60657
Phone (312) 766-4949
29373 Network Pl
Chicago, IL 60673
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
Interoperability endpoints
- mweyenberg250064@direct.franciscanalliance.org
- mweyenberg299723@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1730629841",
"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",
"fax_number": "847-390-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3134 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574414",
"telephone_number": "312-766-4949"
}
],
"practiceLocations": [
{
"address_1": "5454 Hohman Ave",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "IN",
"postal_code": "463201931",
"country_code": "US",
"telephone_number": "219-932-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEYENBERG",
"first_name": "MATTHEW",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-08",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "02006194A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "207RC0001X",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mweyenberg299723@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3134 N Clark St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574414",
"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": "3134 N Clark St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574414",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mweyenberg250064@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5454 Hohman Ave",
"city": "Hammond",
"state": "IN",
"country_code": "US",
"postal_code": "463201931",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.