Active NPI
Chacko P. Mathews, M.D.,M.,P.H.
- Obstetrics & Gynecology Physician
- Palm Springs, FL
National Provider Identifier
1003961103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME82734
- Practice address
- 1650 S Congress Ave
Palm Springs, FL 33461-2175 - Phone
- (561) 439-3600
- Fax
- (561) 642-0720
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME82734 | FL | Primary |
Addresses
Primary practice location
1650 S Congress Ave
Palm Springs, FL 33461-2175
Mailing address
1650 S Congress Ave
Palm Springs, FL 33461-2175
Phone (561) 439-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- lmccmathe@yourcarecommunity.org
- chacko.mathews.1@17157.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1003961103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612175",
"telephone_number": "561-439-3600",
"fax_number": "561-642-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612175",
"telephone_number": "561-439-3600",
"fax_number": "561-642-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "CHACKO",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.,M.,P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME82734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.