Individual provider Active NPI

Annu Mathew, RPA-C

  • Physician Assistant
  • Chalfont, PA
National Provider Identifier
1083964415
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015927 Issued in NY
Practice address
700 Horizon Cir
Suite 202
Chalfont, PA 18914-3907
Phone
(215) 822-8400
Fax
(215) 822-8099
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015927 NY Primary

Addresses

Primary practice location

700 Horizon Cir
Suite 202
Chalfont, PA 18914-3907

Mailing address

700 Horizon Cir
Suite 202
Chalfont, PA 18914-3907
Phone (215) 822-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015927NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rma of Philadelphia Surgical Center LLC PastSince Oct 12, 2025 Accepting new patients
Reproductive Medicine Associates of Philadelphia PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1083964415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HORIZON CIR",
            "address_2": "SUITE 202",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143907",
            "telephone_number": "215-822-8400",
            "fax_number": "215-822-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HORIZON CIR",
            "address_2": "SUITE 202",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143907",
            "telephone_number": "215-822-8400",
            "fax_number": "215-822-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANNU",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

Verify at the official NPI Registry.