Rodrigo B Mata Iii (NPI# 1033148176, PAC ID# 6103721766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1033148176 |
| PAC ID by PECOS | 6103721766 |
| Professional Enrollment ID | I20031211000097 |
| Full Name | Rodrigo B Mata Iii |
| Address |
6123 Green Bay Rd Suite 120 Kenosha WI 53142-2927 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520021 | UNITED HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 68% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 66% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 14% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 3% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 90% |
| Street Address |
6123 GREEN BAY RD SUITE 120 |
| City | KENOSHA |
| State | WI |
| Zip | 53142-2927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Guadagno | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Paul T Basile | Podiatry | Great Lakes Foot and Ankle Centers Inc | 6123 Green Bay Rd, Suite 100, Kenosha, WI 53142-2939 |
| Shellie Kaye Babcock | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Chad E Sloden | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| John L Bostanche | Podiatry | Great Lakes Foot and Ankle Centers Inc | 6123 Green Bay Rd, Suite 100, Kenosha, WI 53142-2939 |
| Nicholas Joseph Hollendonner | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall J Hammett | Chiropractic | 6500 67th St, Kenosha, WI 53142-1403 | |
| Laurie Sasso | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6300 67th St, Kenosha, WI 53142-1437 |
| Pushparanee Babusukumar | Psychiatry | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Tom A Defrancesco | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Donna J Hayes | Podiatry | 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928 | |
| Corrie R Lee | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Lisa M Defazio | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Mary Girsh-jensen | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Sharee Lanee Chance-lawson | Family Medicine | Independent Physicians of Wisconsin LLC | 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928 |
| Ashokkumar K Shah | Psychiatry | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Find all physicians in zip 53142 | |||
| City | KENOSHA |
| Zip Code | 53142 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KENOSHA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Rodrigo B Mata Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.