MARIO GERARD MASSULLO D.O.
NPI 1043228158
Internal Medicine - Cardiovascular Disease in Kankakee, IL
About Mario Gerard Massullo D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIO GERARD MASSULLO D.O. (NPI 1043228158) is an individual cardiovascular disease provider in Kankakee, Illinois, licensed in Illinois (036082059) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mario Gerard Massullo D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 24
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carle Foundation Hospital
Acute Care Hospitals · Urbana, ILPresence St Marys Hospital
Acute Care Hospitals · Kankakee, ILRiverside Medical Center
Acute Care Hospitals · Kankakee, ILIroquois Memorial Hospital
Critical Access Hospitals · Watseka, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mario Massullo's NPI number?
The NPI number for Mario Massullo is 1043228158. It was assigned to this individual provider in the NPPES registry on August 4, 2006.
Where is Mario Massullo located?
Mario Massullo practices at 1710 W. Court St., Kankakee, IL 60901. The listed phone number is (815) 936-3200.
What is Mario Massullo's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Mario Massullo enrolled in Medicare?
Yes. Mario Massullo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Mario Massullo affiliated with any hospitals?
According to CMS data, Mario Massullo is affiliated with Carle Foundation Hospital, Presence St Marys Hospital, Riverside Medical Center and Iroquois Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mario Massullo was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.