Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DENISE PINE-MATTAS
Active
Individual
DENISE PINE-MATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01060692A
IN
207Q00000X
Family Medicine Physician
Primary
036114511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114511
—
IL
05
—
200876850
—
IN
01
—
P00459732
RR MEDICARE
IL
01
—
P00459735
RR MEDICARE
IN
Enumeration date
06/12/2006
Last updated
10/18/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up