Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MATTHEW GRANZOTTO MD
NPI 1861327124
Radiology - Diagnostic Radiology in Springfield, IL

Q: What is Matthew Granzotto's NPI number?

The NPI number for Matthew Granzotto is 1861327124. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Q: What is Matthew Granzotto's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Granzotto was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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 June 16, 2026PECOS Enrolled

751 N RUTLEDGE ST RM 1100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-9730 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Granzotto Md NPPES

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

MATTHEW GRANZOTTO MD (NPI 1861327124) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Illinois (125.088439) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861327124

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMATTHEW GRANZOTTOCredential: MD

Location Address751 N RUTLEDGE ST RM 1100Springfield, IL 62702-4968

Mailing AddressPo Box 19636Springfield, IL 62794-9636 · (217) 545-8000 · Fax (217) 545-9730

Phone(217) 545-8000

Fax(217) 545-9730

Sole ProprietorNo

Enumeration DateJune 16, 2026

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1861327124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IL · 125.088439

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

751 N RUTLEDGE ST RM 1100, Springfield, IL 62702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Granzotto 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 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

MURTAZA JATOI MD

Internal Medicine