LARISSA MATTEI (MD) – Gynecologic Oncology Physician, NPI 1942730817

LARISSA MATTEI (MD) is a healthcare provider. based in Detroit, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 1020114 (MA). The NPI Number for LARISSA MATTEI (MD) is 1942730817

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LARISSA MATTEI (MD)
NPI
1942730817
Phone
Not provided
Address
4100 JOHN R ST STE 721
Enumeration Date
14 June 2017
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5083346255
Graduation Year
2017 (9 years ago)
PAC ID
9032489000
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20240916000688
Address ID
MA016052726WO33XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,739 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for LARISSA MATTEI (MD)

  • 4100 JOHN R ST STE 721

    DETROIT, MI 482012013

    Phone:

    Type: Mailing

  • 4160 JOHN R ST STE 721

    DETROIT, MI 482012014

    Phone: (313) 576-8441

    Type: Location

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 33 KENDALL ST

    WORCESTER, MA 016052726

    Phone: (508) 334-1160

    Type: Location

  • 466, West Harrison Street, Greektown, Near West Side, South Loop, Chicago, Cook County, Illinois, 60607, United States

    CHICAGO, IL 606123800

    Phone: (914) 434-1550

    Type: Mailing

  • Rush University Medical Center, 1653, West Congress Parkway, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606123833

    Phone: (312) 942-8120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,878.

Total Amount is formed as General ($1,878) + Research ($0) + Ownership ($0) = $1,878.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,029).

Total Amount

$1,878

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,878

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-16

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240916000688IObstetrics/GynecologyMATBD

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.

Verify on CMS Revalidation Lookup Tool

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 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284539891View full group profile
NameSpecialtyState
-MA
-MA
Family PracticeMA
Physician AssistantMA
A N E S T H E S I O L O G YNY
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How is LARISSA MATTEI (MD) identified in CMS data?
CMS-hosted NPPES data lists LARISSA MATTEI (MD) with NPI 1942730817.
Does CMS list LARISSA MATTEI (MD) as active?
Yes — LARISSA MATTEI (MD) is active in the NPI listing used on this page.
What is LARISSA MATTEI (MD) best known for clinically?
Directory data describes LARISSA MATTEI (MD) with Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Does LARISSA MATTEI (MD) list a practice location?
Patients near Detroit, Michigan may find LARISSA MATTEI (MD) in results; validate coverage separately.
Is the information about LARISSA MATTEI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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