Zulma Cardona-Matos, MD
NPI 1548764574 · Endocrinology, Diabetes & Metabolism Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Zulma Cardona-Matos, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Chicago, IL (NPI 1548764574).
Provider details
- NPI number
- 1548764574
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036156705 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
413 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| 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 | 169 | $17 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 82 | $185 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 40 | $230 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 38 | $133 |
| Hemoglobin A1c Level83036 | 35 | $10 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 77 | 15 |
| Metformin Hcl | 38 | 15 |
| Dulaglutidebrand: Trulicity | 34 | 11 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 27 | 14 |
| Tirzepatidebrand: Mounjaro | 25 | — |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 24 | 16 |
Practice location
Mailing address
Additional practice locations (1)
- 1740 W Taylor StChicago, IL 60612-7232Phone: (866) 600-2273
Registry dates
- Enumerated
- 2018-03-23
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Frequently asked questions
- What is Zulma Cardona-Matos's NPI number?
- Zulma Cardona-Matos's National Provider Identifier (NPI) is 1548764574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Zulma Cardona-Matos's specialty?
- Zulma Cardona-Matos is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Zulma Cardona-Matos located?
- Zulma Cardona-Matos's practice location on file with NPPES is 676 N Saint Clair St Ste 701, Chicago, IL 60611-2996.
- What is Zulma Cardona-Matos's phone number?
- The practice phone number listed in the NPPES registry for Zulma Cardona-Matos is (312) 695-7970.
- Does Zulma Cardona-Matos accept Medicare?
- Zulma Cardona-Matos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Zulma Cardona-Matos's NPI active?
- Yes — Zulma Cardona-Matos's NPI (1548764574) is active in the NPPES registry as of the last update on 2026-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.