Rodrigo B Mata III, M.D., S.c.
NPI 1588847099 · Internal Medicine Physician · Kenosha, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rodrigo B Mata III, M.D., S.c. is a Internal Medicine Physician organization in Kenosha, WI (NPI 1588847099).
Provider details
- NPI number
- 1588847099
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rodrigo Mata, M.D.(262) 652-2710
- License
- 33893 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Frequently asked questions
- What is Rodrigo B Mata III, M.D., S.c.'s NPI number?
- Rodrigo B Mata III, M.D., S.c.'s National Provider Identifier (NPI) is 1588847099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rodrigo B Mata III, M.D., S.c.?
- Rodrigo B Mata III, M.D., S.c. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rodrigo B Mata III, M.D., S.c. located?
- Rodrigo B Mata III, M.D., S.c.'s practice location on file with NPPES is 6123 Green Bay Rd Ste 120, Kenosha, WI 53142-2927.
- What is Rodrigo B Mata III, M.D., S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Rodrigo B Mata III, M.D., S.c. is (262) 652-2710.
- Does Rodrigo B Mata III, M.D., S.c. accept Medicare?
- Rodrigo B Mata III, M.D., S.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rodrigo B Mata III, M.D., S.c.?
- The authorized official listed on Rodrigo B Mata III, M.D., S.c.'s NPPES record is Rodrigo Mata, M.D.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rodrigo B Mata III, M.D., S.c.'s NPI active?
- Yes — Rodrigo B Mata III, M.D., S.c.'s NPI (1588847099) is active in the NPPES registry as of the last update on 2020-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.