Active NPI
Matthew James Howard
- Pediatrics Physician
- Niles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036137606
- Practice address
- 6450 W Touhy Ave
Niles, IL 60714 - Phone
- (847) 663-8163
- Fax
- (847) 663-1024
- NPI assigned
- Jun 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036137606 | IL | Primary |
Addresses
Primary practice location
6450 W Touhy Ave
Niles, IL 60714
Mailing address
6450 W Touhy Ave
Niles, IL 60714-4512
Phone (847) 663-8163
Other practice location 1
6450 W Touhy Ave
Niles, IL 60714-4512
Phone (847) 583-1000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhoward260536@direct.northshore.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Pediatrics | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
6450 W Touhy Ave
Niles, IL 60714
Phone (847) 583-1000
9977 Woods Dr
Skokie, IL 60077
Phone (847) 663-8540
9977 Woods Dr
Ste 200
Skokie, IL 60077
Phone (847) 663-8163
Interoperability endpoints
- mhoward260536@direct.northshore.org
Organizations & group practices 2
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
- Evanston, IL
- NPI 1265695944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1750643698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 W TOUHY AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607144512",
"telephone_number": "847-663-8163",
"fax_number": "847-663-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 W TOUHY AVE",
"city": "NILES",
"state": "IL",
"postal_code": "60714",
"telephone_number": "847-663-8163",
"fax_number": "847-663-1024"
}
],
"practiceLocations": [
{
"address_1": "6450 W Touhy Ave",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "IL",
"postal_code": "607144512",
"country_code": "US",
"telephone_number": "847-583-1000",
"fax_number": "847-581-1114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWARD",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-15",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036137606",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhoward260536@direct.northshore.org",
"affiliation": "N",
"address_1": "6450 W Touhy Ave",
"city": "Niles",
"state": "IL",
"country_code": "US",
"postal_code": "607144512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.