Individual provider Active NPI

Matthew Brent Goren, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1891868709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Practice address
Two Prudential Plaza
Suite 3175
Chicago, IL 60601-6719
Phone
(312) 332-2262
Fax
(312) 819-1316
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X IL Primary

Addresses

Primary practice location

Two Prudential Plaza
Suite 3175
Chicago, IL 60601-6719

Mailing address

Two Prudential Plaza
Suite 3175
Chicago, IL 60601-6719
Phone (312) 332-2262

Other identifiers 1

IdentifierTypeStateIssuer
0001604949OtherILBLUE SHIELD PROVIDER NO

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
I20090505000535 IL Practitioner - Ophthalmology 5799833505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Two Prudential Plaza
Suite 3175
Chicago, IL 60601-6719
Phone (847) 390-0758

Merit-based Incentive Payment System (MIPS)

Final score
67.15 of 100Reported as individual
Quality
55
Promoting interoperability
73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Goren Eye Associates, SC Ophthalmology CurrentSince Jun 14, 1994 Accepting new patients
City Eye Center, P.C. Ophthalmology PastSince Jun 14, 1994 Accepting new patients

Locations

8901 Golf Rd
Des Plaines, IL 60016
Phone (847) 299-2273

8901 Golf Rd
Ste 201
Des Plaines, IL 60016
Phone (847) 299-0700

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891868709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TWO PRUDENTIAL PLAZA",
            "address_2": "SUITE 3175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016719",
            "telephone_number": "312-332-2262",
            "fax_number": "312-819-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO PRUDENTIAL PLAZA",
            "address_2": "SUITE 3175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016719",
            "telephone_number": "312-332-2262",
            "fax_number": "312-819-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREN",
        "first_name": "MATTHEW",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NO",
            "identifier": "0001604949",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.