Clay O. Demattei I, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036072552 Issued in IL

Practice address

3402 Office Park Dr.
Marion, IL 62959

Phone

(618) 993-3221

NPI assigned

Jun 26, 2006

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

General Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdematte@yourcarecommunity.org

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.

• Heartland Surgery LLC

  • Surgery Physician
  • Marion, IL
  • NPI 1336172766
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Regional Healthcare Services Illinois Inc

  dba Deaconess Illinois Medical Center

  • General Acute Care Hospital
  • Marion, IL
  • NPI 1750007266
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1881621910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 OFFICE PARK DR.",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-993-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 OFFICE PARK DR.",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-993-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTEI",
        "first_name": "CLAY",
        "middle_name": "O.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036072552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036072552",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072552",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Debose, PHARM. D
• Elaine Kay Decker, RRT
• Haley Degroot, RN
• Michael K Delaney, MD
• Lora Jean Delapp, MSED LCPC
• Judith Faulkner Dempsey, LPC
• Shannon M Denman, LCSW
• Elizabeth Dennison
• Dental Safari Company, LTD
• Department of Veterans Affairs

• Surgery Physician in Marion, IL
• Providers in Marion, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.
• 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.

Verify at the official NPI Registry.