ELIZABETH MATA-THIMM MD
NPI 1316636723
Dermatology in Chicago, IL

Active since May 02, 2023PECOS Enrolled
1950 W POLK ST FL 4, CHICAGO, IL 60612(312) 864-4480(234) 405-3808 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Jun 5, 2024, Nov 1, 2023 and 1 more (4 updates tracked since 2023).

About Elizabeth Mata-thimm Md NPPES

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

ELIZABETH MATA-THIMM MD (NPI 1316636723) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (125084992) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316636723
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameELIZABETH MATA-THIMMCredential: MD
Location Address1950 W POLK ST FL 4Chicago, IL 60612-3723
Mailing Address1950 W Polk St Fl 4Chicago, IL 60612-3723 · (312) 864-4480 · Fax (520) 626-6020
Fax(234) 405-3808
Sole ProprietorYes
Enumeration DateMay 2, 2023
Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1316636723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 125084992
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1950 W POLK ST FL 4, Chicago, IL 60612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elizabeth Mata-thimm 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Dermatology (Dermatopathology)
1950 W POLK ST FL 4
CHICAGO, IL 60612
Dermatology
1950 W POLK ST FL 4
CHICAGO, IL 60612
Dermatology
1950 W POLK ST FL 4
CHICAGO, IL 60612

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 Elizabeth Mata-thimm's NPI number?

The NPI number for Elizabeth Mata-thimm is 1316636723. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Elizabeth Mata-thimm located?

Elizabeth Mata-thimm practices at 1950 W Polk St Fl 4, Chicago, IL 60612. The listed phone number is (312) 864-4480.

What is Elizabeth Mata-thimm's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Elizabeth Mata-thimm enrolled in Medicare?

Yes. Elizabeth Mata-thimm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Mata-thimm was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.