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NIKOLAS MATA-MACHADO M.D.
NPI 1295056893
Pediatrics - Neurodevelopmental Disabilities in Chicago, IL

Active since June 17, 2010PECOS Enrolled
100 E 14TH ST APT 801, CHICAGO, IL 60605(773) 569-1822 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2023, Mar 29, 2018 (2 updates tracked since 2018).

About Nikolas Mata-machado M.d. NPPES

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

NIKOLAS MATA-MACHADO M.D. (NPI 1295056893) is an individual neurodevelopmental disabilities provider in Chicago, Illinois, licensed in Illinois (036131814) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295056893
Entity TypeIndividualMale
Primary Taxonomy2080P0008X
Provider Legal NameNIKOLAS MATA-MACHADOCredential: M.D.
Location Address100 E 14TH ST APT 801Chicago, IL 60605-3666
Mailing Address100 E 14th St Apt 1202Chicago, IL 60605-3671 · (718) 300-2246
Phone(773) 569-1822
Sole ProprietorNo
Enumeration DateJune 17, 2010
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
✔ NPI 1295056893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in IL · 036131814
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
100 E 14TH ST APT 801, Chicago, IL 60605
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Other Identifiers 1

Medicaid036131814IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikolas Mata-machado M.d. 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.

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 Nikolas Mata-machado's NPI number?

The NPI number for Nikolas Mata-machado is 1295056893. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Nikolas Mata-machado located?

Nikolas Mata-machado practices at 100 E 14th St Apt 801, Chicago, IL 60605. The listed phone number is (773) 569-1822.

What is Nikolas Mata-machado's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Nikolas Mata-machado enrolled in Medicare?

Yes. Nikolas Mata-machado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikolas Mata-machado was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.