EVANDRO DASILVA MATTOS
NPI 1497991517
Dentist in Downers Grove, IL

Q: What is Evandro Mattos's NPI number?

The NPI number for Evandro Mattos is 1497991517. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Q: What is Evandro Mattos's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Evandro Mattos enrolled in Medicare?

No. Evandro Mattos has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Evandro Mattos was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 18, 2008Opted out of Medicare · through Feb 29, 2028

3450 LACEY RD, DOWNERS GROVE, IL 60515(630) 743-4500(630) 743-4940 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evandro Dasilva Mattos NPPES

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

EVANDRO DASILVA MATTOS (NPI 1497991517) is an individual dentist in Downers Grove, Illinois, licensed in Illinois (136000265) and active in the NPI registry since December 2008. He has opted out of Medicare through February 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497991517

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameEVANDRO DASILVA MATTOS

Location Address3450 LACEY RDDowners Grove, IL 60515-5430

Mailing Address3450 Lacey RdDowners Grove, IL 60515-5430 · (630) 743-4500 · Fax (630) 743-4940

Phone(630) 743-4500

Fax(630) 743-4940

Sole ProprietorNo

Enumeration DateDecember 18, 2008

Last NPPES UpdateFebruary 28, 2022

NPPES CertifiedFebruary 28, 2022

✔ NPI 1497991517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 136000265

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3450 LACEY RD, Downers Grove, IL 60515

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Evandro Dasilva Mattos has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2022 through February 29, 2028.

Opt-Out Effective DateFebruary 28, 2022

Opt-Out In Effect ThroughFebruary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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 20

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

DR. AARLAN VINCENT ACETO OD

Optometrist

3450 LACEY RD
DOWNERS GROVE, IL 60515

Dupage County (630) 743-4807

BEHNAM DARVISHAN DMD

Dentist (General Practice)

3450 LACEY RD
DOWNERS GROVE, IL 60515

Dupage County (630) 743-4500

RITA ANDREJA SINCLAIR PA-C

Physician Assistant

3450 LACEY RD
DOWNERS GROVE, IL 60515

Dupage County (630) 743-7500

DR. KIMBERLY A HUNTINGTON-ALFANO D.O.

Family Medicine

3450 LACEY RD
DOWNERS GROVE, IL 60515

Dupage County (630) 743-4500

MIDWESTERN UNIVERSITY

Speech-Language Pathologist

3450 LACEY RD
DOWNERS GROVE, IL 60515

Dupage County (630) 743-4500

MS. KIMBERLY S HOFFER M.A., CCC-SLP

Speech-Language Pathologist

3450 LACEY RD, ALUMNI HALL 206
DOWNERS GROVE, IL 60515

Dupage County (630) 743-4500

JESSICA N CONROY OD

Optometrist

3450 LACEY RD
DOWNERS GROVE, IL 60515

Dupage County (630) 743-4500

LAUREN MAXON FERGUSON CCC-SLP

Speech-Language Pathologist

3450 LACEY RD
DOWNERS GROVE, IL 60515

Dupage County (630) 743-4500

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 Evandro Mattos's NPI number?

The NPI number for Evandro Mattos is 1497991517. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Where is Evandro Mattos located?

Evandro Mattos practices at 3450 Lacey Rd, Downers Grove, IL 60515. The listed phone number is (630) 743-4500.

What is Evandro Mattos's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Evandro Mattos enrolled in Medicare?

No. Evandro Mattos has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Evandro Mattos was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.