HAMED R MATARIA M.D.
NPI 1285845818
Internal Medicine - Pulmonary Disease in Chicago Ridge, IL

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415(708) 422-0636(708) 424-2164 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hamed R Mataria M.d. NPPES

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

HAMED R MATARIA M.D. (NPI 1285845818) is an individual pulmonary disease provider in Chicago Ridge, Illinois, licensed in Michigan (4301088179) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1285845818
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHAMED R MATARIACredential: M.D.
Location Address10604 SOUTHWEST HIGHWAY, STE 107Chicago Ridge, IL 60415-2717
Mailing Address10604 Southwest Highway, Ste 107Chicago Ridge, IL 60415-2717 · (708) 422-0636 · Fax (708) 424-2164
Fax(708) 424-2164
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 25, 2007
Last NPPES UpdateJune 7, 2018
NPI 1285845818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MI · 4301088179
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 36115395 (IL)
10604 SOUTHWEST HIGHWAY, Chicago Ridge, IL 60415

Accepted Insurance

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

Hamed R Mataria M.d. 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.

PECOS PAC ID6103971783
PECOS Enrollment IDI20090903000115
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.

Areas of Expertise CMS Part B claims 18

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
888 services331 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
239 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
196 services126 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
46 services11 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
43 services12 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
35 services35 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers169 claims169 services$32.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers100 claims100 services$69.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers97 claims245 services$26.55 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers61 claims319 services$14.40 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers20 claims111 services$11.67 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers80 claims80 services$44.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
10604 SOUTHWEST HIGHWAY, SUITE 101
CHICAGO RIDGE, IL 60415
Internal Medicine (Pulmonary Disease)
10604 SOUTHWEST HIGHWAY, STE 107
CHICAGO RIDGE, IL 60415
Internal Medicine (Pulmonary Disease)
10604 SOUTHWEST HIGHWAY, SUITE 107
CHICAGO RIDGE, IL 60415
Internal Medicine (Pulmonary Disease)
10604 SOUTHWEST HIGHWAY, STE 107
CHICAGO RIDGE, IL 60415
Internal Medicine (Critical Care Medicine)
10604 SOUTHWEST HIGHWAY, STE 107
CHICAGO RIDGE, IL 60415
Internal Medicine (Pulmonary Disease)
10604 SOUTHWEST HIGHWAY, STE 107
CHICAGO RIDGE, IL 60415
Internal Medicine (Pulmonary Disease)
10604 SOUTHWEST HIGHWAY, STE 107
CHICAGO RIDGE, IL 60415
Internal Medicine (Pulmonary Disease)
10604 SOUTHWEST HIGHWAY, STE 107
CHICAGO RIDGE, IL 60415

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 Hamed Mataria's NPI number?

The NPI number for Hamed Mataria is 1285845818. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Hamed Mataria located?

Hamed Mataria practices at 10604 Southwest Highway Ste 107, Chicago Ridge, IL 60415. The listed phone number is (708) 422-0636.

What is Hamed Mataria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hamed Mataria enrolled in Medicare?

Yes. Hamed Mataria 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.

What insurance does Hamed Mataria accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Hamed Mataria as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hamed Mataria affiliated with any hospitals?

According to CMS data, Hamed Mataria is affiliated with Advocate Trinity Hospital, Palos Community Hospital, Osf Little Company Of Mary Medical Center and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Hamed Mataria was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.