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SHANTA D. MATTAI
NPI 1609974096
Psychiatry & Neurology - Neurology in Peoria, IL

Active since September 20, 2006
100 NE RANDOLPH AVE, PEORIA, IL 61606(309) 624-8500(309) 655-8552 Get Directions Write a Review

NPPES record last updated: July 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shanta D. Mattai NPPES

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

SHANTA D. MATTAI (NPI 1609974096) is an individual neurology provider in Peoria, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1609974096
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHANTA D. MATTAI
Location Address100 NE RANDOLPH AVEPeoria, IL 61606-1919
Mailing Address100 Ne Randolph AvePeoria, IL 61606-1919 · (309) 624-8500 · Fax (309) 655-8552
Phone(309) 624-8500
Fax(309) 655-8552
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 14, 2007
✔ NPI 1609974096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
100 NE RANDOLPH AVE, Peoria, IL 61606
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Other Identifiers 4

Medicare UPINI 08898
Medicare ID-Type Unspecified809840IL · Group #
Medicare ID-Type UnspecifiedK23565IL · Individual #
Medicare ID-Type UnspecifiedK19726IL · Individual #

Areas of Expertise CMS Part B claims 5

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.

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.
57 services54 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.
24 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

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.

JENNY WAGNER
Nurse Practitioner
100 NE RANDOLPH AVE
PEORIA, IL 61606
Peoria County (309) 624-8500
AMY M JUNKER P.T.
Physical Therapist
100 NE RANDOLPH AVE
PEORIA, IL 61606
Peoria County (309) 624-8575
BETHANY ATTERBERRY P.T.
Physical Therapist
100 NE RANDOLPH AVE
PEORIA, IL 61606
Peoria County (309) 624-8575
MARIA KARBOWSKA-JANKOWSKA
Physical Medicine & Rehabilitation
100 NE RANDOLPH AVE
PEORIA, IL 61606
Peoria County (309) 624-8500
DONNA ANNE LEBER O.T.
Occupational Therapist
100 NE RANDOLPH AVE
PEORIA, IL 61606
Peoria County (309) 655-4778
EDWARD BRIDGES MOODY M.D.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
100 NE RANDOLPH AVE, ST. FRANCIS OCCUPATIONAL HEALTH
PEORIA, IL 61606
Peoria County (309) 624-8525
MEREDITH BURD
Occupational Therapist
100 NE RANDOLPH AVE
PEORIA, IL 61606
Peoria County (309) 624-8578
GREGORY M. BLUME
Psychiatry & Neurology (Neurology)
100 NE RANDOLPH AVE
PEORIA, IL 61606
Peoria County (309) 624-8500

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 Shanta Mattai's NPI number?

The NPI number for Shanta Mattai is 1609974096. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Shanta Mattai located?

Shanta Mattai practices at 100 NE Randolph Ave, Peoria, IL 61606. The listed phone number is (309) 624-8500.

What is Shanta Mattai's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Shanta Mattai was last updated on July 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.