Active NPI
Sobhan A Mathew, MD
- Internal Medicine Physician
- Bowie, MD
National Provider Identifier
1063453074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D47604
- Practice address
- 3048 Mitchellville Rd
Bowie, MD 20716-1388 - Phone
- (301) 218-1456
- Fax
- (301) 218-1462
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D47604 | MD | Primary |
Addresses
Primary practice location
3048 Mitchellville Rd
Bowie, MD 20716-1388
Mailing address
PO Box 157
Ashton, MD 20861-0157
Phone (301) 570-4280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 847175400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 |
|---|---|---|---|---|
| I20040728000596 | DC | Practitioner - Internal Medicine | 0941270995 | Practice locations: Bowie, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3048 Mitchellville Rd
Bowie, MD 20716-1388
Phone (301) 218-1456
Hospital & facility affiliations
- Amedisys Home Health Care
- Homecall
- Medstar Washington Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.13 of 100
- Quality
- 90.26
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D47604 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Sobhan Mathew MD | Internal Medicine | Past | Accepting new patients |
| Primary Care Physicians LLC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- sobhanmathewmd@samm-md.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1477098523
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1295910792
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Easton, MD
- NPI 1700971843
-
- Home Health Agency
- Largo, MD
- NPI 1831143908
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1063453074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "ASHTON",
"state": "MD",
"postal_code": "208610157",
"telephone_number": "301-570-4280",
"fax_number": "301-260-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 MITCHELLVILLE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161388",
"telephone_number": "301-218-1456",
"fax_number": "301-218-1462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "SOBHAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D47604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "847175400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.