MATILDA M ROSANWO MD
NPI 1871570978
Family Medicine in Crystal Lake, IL

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
360 STATION DR, CRYSTAL LAKE, IL 60014(815) 338-6600(815) 455-8044 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 22, 2018, Mar 17, 2018, Dec 7, 2017 and 1 more (4 updates tracked since 2017).

About Matilda M Rosanwo Md NPPES

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

MATILDA M ROSANWO MD (NPI 1871570978) is an individual family medicine provider in Crystal Lake, Illinois, licensed in Illinois (036104686) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1871570978
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMATILDA M ROSANWOCredential: MD
Location Address360 STATION DRCrystal Lake, IL 60014
Mailing Address360 Station DrCrystal Lake, IL 60014-7978 · (815) 338-6600 · Fax (815) 455-8044
Fax(815) 455-8044
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 29, 2005
Last NPPES UpdateOctober 22, 20184 updates tracked since enumeration
NPI 1871570978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036104686
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
360 STATION DR, Crystal Lake, IL 60014

Secondary Practice Locations 4

Location 145 W 111th St, Roseland Community HospitalChicago, IL 60628-4200 · Phone (773) 995-3000 · Fax (630) 734-1560
Location 21925 Huntley RdWest Dundee, IL 60118-9301 · Phone (815) 338-6600 · Fax (847) 426-5162
Location 310350 Haligus RdHuntley, IL 60142-9545 · Phone (815) 338-6600 · Fax (847) 802-7112
Location 42507 N Richmond RdMcHenry, IL 60051-5407 · Phone (815) 338-6600 · Fax (815) 385-3255

Other Identifiers 3

Other036104686IL · State License
OtherP00424928IL · Rr Medicare
Medicaid0361046863IL

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

Matilda M Rosanwo Md 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 ID1557381134
PECOS Enrollment IDI20051128000666
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 23

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.
260 services257 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
235 services226 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.
156 services154 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
103 services101 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
100 services100 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
53 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
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.

Nurse Practitioner
360 STATION DR
CRYSTAL LAKE, IL 60014
Nurse Practitioner (Adult Health)
360 STATION DR, SUITE 120
CRYSTAL LAKE, IL 60014
Registered Nurse (Diabetes Educator)
360 STATION DR
CRYSTAL LAKE, IL 60014
Physician Assistant
360 STATION DR
CRYSTAL LAKE, IL 60014
Registered Nurse (Diabetes Educator)
360 STATION DR
CRYSTAL LAKE, IL 60014
Family Medicine
360 STATION DR
CRYSTAL LAKE, IL 60014
Family Medicine
360 STATION DR
CRYSTAL LAKE, IL 60014
Pediatrics (Pediatric Cardiology)
360 STATION DR
CRYSTAL LAKE, IL 60014

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 Matilda Rosanwo's NPI number?

The NPI number for Matilda Rosanwo is 1871570978. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Matilda Rosanwo located?

Matilda Rosanwo practices at 360 Station Dr, Crystal Lake, IL 60014. The listed phone number is (815) 338-6600.

What is Matilda Rosanwo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matilda Rosanwo enrolled in Medicare?

Yes. Matilda Rosanwo 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.

Is Matilda Rosanwo affiliated with any hospitals?

According to CMS data, Matilda Rosanwo is affiliated with Northwestern Medicine Mchenry, Advocate Condell Medical Center and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Matilda Rosanwo was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.