Active NPI
Merin Elizabeth Mathew, D.O.
- Hospitalist Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036166722
- Practice address
- 2650 Ridge Ave
Evanston, IL 60201-1700 - Phone
- (847) 570-1010
- NPI assigned
- Apr 15, 2016
- 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 | 036166722 | IL | |
| Hospitalist Physician | 208M00000X | 036166722 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Evanston, IL 60201-1700
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other practice location 1
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 945-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Oak Ave
Evanston, IL 60201-4205
Phone (847) 869-1300
2650 Ridge Ave
Evanston, IL 60201-1700
9600 Gross Point Rd
Skokie, IL 60076-1214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036166722 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Rush University Medical Center | Internal Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Rush University Medical Group | Internal Medicine | Current | Accepting new patients |
| Sacred Heart Rehabilitation Institute, Inc. | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1620 W Harrison St
Chicago, IL 60612
Phone (312) 942-4200
9532 Eagle Way
Chicago, IL 60678
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
2650 Ridge Ave
Ste 1304
Evanston, IL 60201
Phone (847) 570-1010
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Rehabilitation Hospital
- Mequon, WI
- NPI 1508920356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1114371176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-1010"
}
],
"practiceLocations": [
{
"address_1": "1653 W Congress Pkwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123833",
"country_code": "US",
"telephone_number": "312-945-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEW",
"first_name": "MERIN",
"middle_name": "ELIZABETH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036166722",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036166722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.