Active NPI
Matthew Tyler Monaco, DC
- Chiropractor
- Chesterton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003293A
- Practice address
- 407 W Indiana Ave
Chesterton, IN 46304-2350 - Phone
- (219) 763-8112
- Fax
- (219) 763-8937
- NPI assigned
- Apr 5, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003293A | IN | Primary |
Addresses
Primary practice location
407 W Indiana Ave
Chesterton, IN 46304-2350
Mailing address
PO Box 1430
Portage, IN 46368-9230
Phone (219) 763-8112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220513000680 | IN | Practitioner - Chiropractic | 9133506173 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northshore Health Centers Inc
Practice addresses (Care Compare)
801 Broadway
Chesterton, IN 46304-2230
Phone (219) 763-8112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08003293A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Chiropractor | Current | Accepting new patients |
| Northshore Health Centers, Inc. | Past | Accepting new patients |
Locations
407 W Indiana Ave
Chesterton, IN 46304
Phone (219) 712-3875
801 Broadway
Chesterton, IN 46304
Phone (219) 764-5311
310 W 112th Ave
Crown Point, IN 46307
Phone (219) 763-8113
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- matthew.monaco.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 23
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.
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
IN
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Chesterton, IN
- NPI 1568856045
Chiropractor
-
- Federally Qualified Health Center (FQHC)
- Lake Station, IN
- NPI 1356530505
-
- Federally Qualified Health Center (FQHC)
- Hammond, IN
- NPI 1023440526
-
- Federally Qualified Health Center (FQHC)
- Schererville, IN
- NPI 1255006862
-
- Federally Qualified Health Center (FQHC)
- Demotte, IN
- NPI 1295498947
-
- Federally Qualified Health Center (FQHC)
- Hobart, IN
- NPI 1336810167
-
- Federally Qualified Health Center (FQHC)
- Portage, IN
- NPI 1407061336
-
- Federally Qualified Health Center (FQHC)
- Portage, IN
- NPI 1467490300
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1477810315
-
- Federally Qualified Health Center (FQHC)
- La Porte, IN
- NPI 1568039915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1760123640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463689230",
"telephone_number": "219-763-8112",
"fax_number": "219-764-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W INDIANA AVE",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463042350",
"telephone_number": "219-763-8112",
"fax_number": "219-763-8937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONACO",
"first_name": "MATTHEW",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003293A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.