Individual provider Active NPI

Matthew M Wessel, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Niles, IL
National Provider Identifier
1750549788
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
036132482 Issued in IL
Practice address
8780 W Golf Rd Ste 304
Niles, IL 60714-5611
Phone
(847) 297-8900
Fax
(847) 297-8926
NPI assigned
May 27, 2008
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 250490 NY
Ophthalmology Physician 207W00000X 036132482 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X 036132482 IL Primary

Addresses

Primary practice location

8780 W Golf Rd Ste 304
Niles, IL 60714-5611

Mailing address

8780 W Golf Rd Ste 304
Niles, IL 60714-5611
Phone (847) 297-8900

Other practice location 1

820 E Terra Cotta Ave Ste 720
Crystal Lake, IL 60014-3649
Phone (815) 788-1000

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
I20131024000616 IL Practitioner - Ophthalmology 0941478911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Institute of Illinois PCGroup PAC ID 1153320973, 9 clinicians

Practice addresses (Care Compare)

130 S Main St
Suite 303
Lombard, IL 60148-2670
Phone (630) 424-9877

1585 N Barrington Rd
Suite 404
Hoffman Estates, IL 60169-5019
Phone (847) 843-4100

820 E Terra Cotta Ave
Suite 247
Crystal Lake, IL 60014-3655
Phone (815) 788-1000

8780 W Golf Rd
Suite 304
Niles, IL 60714-5611
Phone (847) 297-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.44 of 100Reported as group
Quality
97.34
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Illinois PC Ophthalmology CurrentSince Sep 3, 2013 Accepting new patients

Locations

2326 W Foster Ave
Ste 100
Chicago, IL 60625
Phone (773) 784-9400

820 E Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 444-1330

820 E Terra Cotta Ave
Ste 247
Crystal Lake, IL 60014
Phone (815) 788-1000

820 E Terra Cotta Ave
Ste 720
Crystal Lake, IL 60014
Phone (815) 788-1000

36100 N Brookside Dr
Ste 206
Gurnee, IL 60031
Phone (847) 855-2500

1585 N Barrington Rd
Ste 404
Hoffman Estates, IL 60169
Phone (847) 755-9393

8780 W Golf Rd
Niles, IL 60714
Phone (847) 297-8900

8780 W Golf Rd
Ste 304
Niles, IL 60714
Phone (847) 297-8900

Organizations & group practices 1

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 3

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1750549788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD STE 304",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145611",
            "telephone_number": "847-297-8900",
            "fax_number": "847-297-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD STE 304",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145611",
            "telephone_number": "847-297-8900",
            "fax_number": "847-297-8926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 E Terra Cotta Ave Ste 720",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600143649",
            "country_code": "US",
            "telephone_number": "815-788-1000",
            "fax_number": "815-788-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSEL",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "250490",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036132482",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036132482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.