RALPH MATAR M.D
NPI 1336588433
Internal Medicine - Cardiovascular Disease in Chicago, IL

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1901 W HARRISON ST, ROOM 3620, CHICAGO, IL 60612(312) 864-3034 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ralph Matar M.d NPPES

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

RALPH MATAR M.D (NPI 1336588433) is an individual cardiovascular disease provider in Chicago, Illinois, licensed in Illinois (036139610) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Lake Pointe, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1336588433
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRALPH MATARCredential: M.D
Location Address1901 W HARRISON ST, ROOM 3620Chicago, IL 60612-3714
Mailing Address1901 W Harrison St, Room 3620Chicago, IL 60612-3714 · (312) 864-3034
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 21, 2013
Last NPPES UpdateJune 24, 2016
NPI 1336588433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036139610
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1901 W HARRISON ST, Chicago, IL 60612

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

Ralph Matar 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 ID6800189762
PECOS Enrollment IDI20240919004291
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 21

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
700 services678 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
201 services201 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
148 services142 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
142 services133 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.
133 services127 patients
Ultrasound of heart blood flow, valves and chambers, follow-up 93321
This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.
122 services119 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

The Heart Hospital Baylor Denton

Acute Care Hospitals · Denton, TX
5/5 CMS rating
OwnershipPhysician
CMS Certification Number450893
Location2801 South Mayhill RoadDenton, TX 76208 · Denton County
Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

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
$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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
General Acute Care Hospital
1901 W HARRISON ST
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 Ralph Matar's NPI number?

The NPI number for Ralph Matar is 1336588433. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Ralph Matar located?

Ralph Matar practices at 1901 W Harrison St Room 3620, Chicago, IL 60612. The listed phone number is (312) 864-3034.

What is Ralph Matar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ralph Matar enrolled in Medicare?

Yes. Ralph Matar 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 Ralph Matar accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Ralph Matar 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 Ralph Matar affiliated with any hospitals?

According to CMS data, Ralph Matar is affiliated with Baylor Scott And White Medical Center Lake Pointe, Baylor Scott & White Medical Center Plano, The Heart Hospital Baylor Denton and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Ralph Matar was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.