Mario Massullo, D.O.
NPI 1043228158 · Cardiovascular Disease Physician · Kankakee, IL
Enrolled with Medicare as Practitioner - Cardiac Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Massullo, D.O. is a Cardiovascular Disease Physician provider in Kankakee, IL (NPI 1043228158).
Provider details
- NPI number
- 1043228158
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036082059 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
5,593 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,157 | $122 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 1,112 | $16 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 588 | $8 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 367 | $76 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 364 | $14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,049 | 256 |
| Amlodipine Besylate | 730 | 178 |
| Apixabanbrand: Eliquis | 511 | 97 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 509 | 128 |
| Carvedilol | 452 | 117 |
| Losartan Potassium | 305 | 80 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,466 across 57 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 100 Provena Way Ste CBourbonnais, IL 60914-4798Phone: (815) 936-3200Fax: (815) 936-3203
- 3800 W 203rd St Ste 202Olympia Fields, IL 60461-1185Phone: (708) 852-2699Fax: (708) 679-2223
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2021-10-27
- Certified
- 2021-10-27
Frequently asked questions
- What is Mario Massullo's NPI number?
- Mario Massullo's National Provider Identifier (NPI) is 1043228158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Massullo's specialty?
- Mario Massullo is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Massullo located?
- Mario Massullo's practice location on file with NPPES is 1710 W. Court St., Kankakee, IL 60901.
- What is Mario Massullo's phone number?
- The practice phone number listed in the NPPES registry for Mario Massullo is (815) 936-3200.
- Does Mario Massullo accept Medicare?
- Mario Massullo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Massullo's NPI active?
- Yes — Mario Massullo's NPI (1043228158) is active in the NPPES registry as of the last update on 2021-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.