JYOTHI MATTA (M.D.) – Pediatric Cardiology Physician, NPI 1073523684
Pediatric Cardiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
490 CARDIOVASCULAR DISEASE (CARDIOLOGY) in KY
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Provider Addresses for JYOTHI MATTA (M.D.)
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776879
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
East Chestnut Street, Louisville, Jefferson County, Kentucky, 40204, United States
LOUISVILLE, KY 402021713
Phone: (502) 588-7450
Fax: (502) 588-7728
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,959.
Total Amount is formed as General ($1,959) + Research ($0) + Ownership ($0) = $1,959.
Last reported payment date: 2023-04-14 • Largest payer in this snapshot: Orthofix Medical, Inc. ($1,959).
Total Amount
$1,959
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,959
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $1,959 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100830000086 | I | Cardiovascular Disease (Cardiology) | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | KY | |
| - | KY | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Diagnostic Radiology | IL | |
| Pediatric Medicine | IL | |
| Endocrinology, Internal Medicine, Pediatric Medicine | KY | |
| Nurse Practitioner | IL | |
| - | KY |
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