Active NPI
Aswathi Elsa Mathew, MD
- Internal Medicine Physician
- Gloversville, NY
National Provider Identifier
1013406396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 321837
- Practice address
- 99 E State St
Gloversville, NY 12078-1293 - Phone
- (518) 773-5690
- Fax
- (518) 773-5620
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD475498 | PA | |
| Internal Medicine Physician | 207R00000X | 321837 | NY | Primary |
Addresses
Primary practice location
99 E State St
Gloversville, NY 12078-1293
Mailing address
99 E State St
Gloversville, NY 12078-1293
Phone (518) 773-5690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230404000606 | NY | Practitioner - Internal Medicine | 4284032608 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nathan Littauer Hospital Association
Practice addresses (Care Compare)
99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690
Hospital & facility affiliations
- Vna Home Health
- Nathan Littauer Hospital
- St Marys Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321837 | NY | MD | Internal Medicine Physician |
| MD475498 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan Littauer Hospital Association | Current | Accepting new patients | |
| Nathan Littauer Hospital & Nursing Home | Current | Accepting new patients | |
| Nathan Littauer Hospital Association | Current | Accepting new patients |
Locations
99 E State St
Gloversville, NY 12078
Phone (518) 773-5690
Interoperability endpoints
- amathew.nlh@hixny.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Gloversville, NY
- NPI 1336145168
-
- General Acute Care Hospital
- Gloversville, NY
- NPI 1538296207
-
- Clinic/Center
- Gloversville, NY
- NPI 1770671448
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gloversville, NY
- NPI 1538296207
Hospital
-
- Rural Acute Care Hospital
- Gloversville, NY
- NPI 1336145168
Hospital
-
- Home Health Agency
- Albany, NY
- NPI 1295703551
-
- Home Health Agency
- Albany, NY
- NPI 1992700165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1013406396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E STATE ST",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781293",
"telephone_number": "518-773-5690",
"fax_number": "518-773-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E STATE ST",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781293",
"telephone_number": "518-773-5690",
"fax_number": "518-773-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ASWATHI",
"middle_name": "ELSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD475498",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "321837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.