Active NPI
Victor Mategrano, MD
- Diagnostic Radiology Physician
- Schaumburg, IL
National Provider Identifier
1790708378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Practice address
- 1834 Walden Office SQ
#125 Oamri of Schaumburg LLC
Schaumburg, IL 60173 - Phone
- (847) 397-2300
- Fax
- (847) 397-6140
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | IL | Primary |
Addresses
Primary practice location
1834 Walden Office SQ
#125 Oamri of Schaumburg LLC
Schaumburg, IL 60173
Mailing address
1126 S 70TH St
Suite N500
Milwaukee, WI 53214
Phone (414) 455-4780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376728105 | Other | IL | NPI NEW CORP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-047699 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Radiologists, S.C. | Diagnostic Radiology | Past | Accepting new patients |
| Premier Health Services Inc | Past | Accepting new patients |
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Schaumburg, IL
- NPI 1528446812
-
- Diagnostic Radiology Physician
- Lagrange, IL
- NPI 1386665396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1790708378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 S 70TH ST",
"address_2": "SUITE N500",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53214",
"telephone_number": "414-455-4780",
"fax_number": "414-475-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1834 WALDEN OFFICE SQ",
"address_2": "#125 OAMRI OF SCHAUMBURG LLC",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60173",
"telephone_number": "847-397-2300",
"fax_number": "847-397-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEGRANO",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NEW CORP",
"identifier": "1376728105",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.