Mario Massullo, D.O

NPI: 1043228158

Mario Massullo, D.O

Q: What is Mario Massullo's NPI number?

Mario Massullo's NPI number is 1043228158, a unique 10-digit identifier issued by CMS.

Q: What does Mario Massullo specialize in?

Mario Massullo specializes in Internal Medicine, taxonomy code 207R00000X.

Q: Where does Mario Massullo practice?

Mario Massullo practices in Kankakee, IL 60901.

Q: When was Mario Massullo's NPI issued?

Mario Massullo's NPI was issued on August 4, 2006.

Q: What is Mario Massullo's provider type?

Mario Massullo is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderInternal Medicine

NPI issued: August 4, 2006

Quick Facts

NPI Number

1043228158

TypeIndividual

StatusActive

SpecialtyInternal Medicine

Taxonomy207R00000X — Internal Medicine

Phone

(815) 936-3200

StateIL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1043228158)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 4, 2006)

Data source: CMS NPPES

Provider Overview

MARIO MASSULLO, D.O is a Internal Medicine provider based in Kankakee, IL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1043228158

Provider TypeIndividual Provider

GenderMale

CredentialD.O

StatusActive

Enumeration DateAugust 4, 2006

Practice Location

CityKankakee

StateIL

ZIP Code60901

Phone(815) 936-3200

Specialties & Licenses

★ Primary

SpecialtyInternal Medicine

Taxonomy Code207R00000X

License StateIL

Mailing Address

CityKankakee

StateIL

ZIP Code60901

Phone(815) 936-3200

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1043228158 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1043228158for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1043228158 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Internal Medicine

Internal Medicine physicians (internists) specialize in the prevention, diagnosis, and nonsurgical treatment of adult illnesses, managing complex chronic conditions and multi-system diseases.

Browse all Internal Medicineproviders →

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Internal Medicine Providers in the US