Nikolas Mata-machado
M.D. | Pediatric Neurodevelopmental Disabilities | Male
Nikolas Mata-machado, M.D. is a Chicago, Illinois based Pediatric doctor with medical specialization in
Pediatric Neurodevelopmental Disabilities.
Current practice location of Nikolas Mata-machado is
100 E 14th St Apt 801, Chicago, Illinois - 60605-3666. He can be contacted on phone at
773-569-1822.
Nikolas Mata-machado is a sole proprietor of his business.
NPI number (Unique professional ID) for Nikolas Mata-machado is
1295056893 which was assigned by NPPES on 17 Jun, 2010 and it was last updated on 29 Mar, 2018.
Nikolas Mata-machado license number is
036131814 for Pediatrics Neurodevelopmental Disabilities (2080P0008X) in Illinois.
Nikolas Mata-machado treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
Nikolas Mata-machado basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Neurodevelopmental Disabilities |
---|
Provider Name : | Nikolas Mata-machado |
---|
Credential : | M.D. |
---|
Gender : | Male |
---|
Business Address:
Nikolas Mata-machado address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 100 E 14th St Apt 801 Chicago, IL, 60605-3666 United States |
---|
Phone Number : | 773-569-1822 |
---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1295056893 |
---|
NPI Entity Type : | Individual |
---|
First Enrolment Date : | 17 Jun, 2010 |
---|
Last Updated On : | 29 Mar, 2018 |
---|
Medicare Participation:
Nikolas Mata-machado participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 1052634367 |
---|
Medicare Enrollment ID : | I20141217001926 |
---|
Primary Specialty : | Pediatric Medicine |
---|
Medical School : | Other |
---|
Graduation Year : | 2002 |
---|
Accepts Medicare? | Yes. Nikolas Mata-machado accepts medicare insurance. |
---|
Group Practice Association:
Nikolas Mata-machado is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nikolas Mata-machado is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
---|
The Board Of Trustees Of The University Of Illinois | 3072422716 | 891 | 840 S Wood St 856 Uic Pediatrics Chicago, IL - 606124325 Ph: 3124131429 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nikolas Mata-machado are as mentioned. Primary taxonomy code for Nikolas Mata-machado, M.D. is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
Taxonomy Code | Speciality | Primary | License No. | State |
---|
2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | 036131814 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Nikolas Mata-machado such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
---|
036131814 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 100 E 14th St Apt 1202 Chicago, IL, 60605-3671 United States |
---|
Phone Number : | 718-300-2246 |
---|
Business Location:
Patients can refer following map for directions to
Nikolas Mata-machado practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.