DR. MATTHEW ELMO GARCIA GAYOSO MD
NPI 1245923085
Student in an Organized Health Care Education/Training Program in Maywood, IL

Q: What is Matthew Elmo Gayoso's NPI number?

The NPI number for Matthew Elmo Gayoso is 1245923085. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Q: What is Matthew Elmo Gayoso's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 29, 2023PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, May 29, 2023 (2 updates tracked since 2023).

On this page

About Dr. Matthew Elmo Garcia Gayoso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW ELMO GARCIA GAYOSO MD (NPI 1245923085) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1245923085

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MATTHEW ELMO GARCIA GAYOSOCredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address31 E Ogden Ave Unit 536La Grange, IL 60525-2184 · (901) 359-0634

Phone(888) 584-7888

Sole ProprietorNo

Enumeration DateMay 29, 2023

Last NPPES UpdateJune 9, 20262 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1245923085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2160 S 1ST AVE, Maywood, IL 60153

Open in Google Maps ↗

Secondary Practice Location 1

Location 11161 21st Ave SNashville, TN 37232-0011 · Phone (901) 359-0634

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Elmo Garcia Gayoso Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)