RODRIGO A MATA JR. M.D.
NPI 1104127372
Family Medicine in Kenosha, WI

NPI Status: Active since November 04, 2010

Contact Information

6123 GREEN BAY RD
SUITE 120
KENOSHA, WI
ZIP 53142
Phone: (262) 652-6995
Fax: (262) 652-1370

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  • Individual
  • Male
  • Family Medicine

About RODRIGO MATA

This page provides the complete NPI Profile along with additional information for Rodrigo Mata, a primary care provider established in Kenosha, Wisconsin with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1104127372 assigned on November 2010. The practitioner's primary taxonomy code is 207Q00000X with license number 22023-20 (WI). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1104127372
Provider Name
RODRIGO A MATA JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
6123 GREEN BAY RD SUITE 120 KENOSHA, WI 53142
Location Phone
(262) 652-6995
Location Fax
(262) 652-1370
Mailing Address
6123 GREEN BAY RD SUITE 120 KENOSHA, WI 53142
Mailing Phone
(262) 652-6995
Mailing Fax
(262) 652-1370
Is Sole Proprietor?
Yes
Enumeration Date
11-04-2010
Last Update Date
11-04-2010
Code Navigator

A primary care provider (PCP) like Rodrigo Mata sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
22023-20
License State
WI
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104127372, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 2 + 2 + 1 + 4 + 3 + 1 + 4 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104127372.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD, STE 100
KENOSHA, WI 53142
Chiropractor
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Psychologist (Clinical)
6123 GREEN BAY RD
KENOSHA, WI 53142
Physical Therapist
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Clinic/Center
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Clinic/Center (Ambulatory Surgical)
6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Chiropractor
6123 GREEN BAY RD
KENOSHA, WI 53142
In Home Supportive Care
6123 GREEN BAY RD, SUITE 250
KENOSHA, WI 53142
Internal Medicine
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Home Health
6123 GREEN BAY RD, SUITE 230
KENOSHA, WI 53142
Physical Therapist
6123 GREEN BAY RD, STE 140
KENOSHA, WI 53142
Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104127372, enumerated as an "individual" on November 04, 2010.

The provider is located at 6123 GREEN BAY RD SUITE 120 KENOSHA, WI 53142 and the phone number is (262) 652-6995.

Family Medicine with taxonomy code 207Q00000X.