Individual provider Active NPI

Mathews John, M.D.

  • Psychiatry Physician
  • Terre Haute, IN
National Provider Identifier
1174571574
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01054293 Issued in IN
Practice address
609 E Surgery Center Dr
Terre Haute, IN 47802-6815
Phone
(812) 917-5091
Fax
(812) 558-3303
NPI assigned
May 5, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01054293 IN Primary

Addresses

Primary practice location

609 E Surgery Center Dr
Terre Haute, IN 47802-6815

Mailing address

PO Box 4323
Terre Haute, IN 47804-0323
Phone (812) 231-8323

Other identifiers 1

IdentifierTypeStateIssuer
200356060MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000745 IN Practitioner - Psychiatry 1052454386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wabash Valley Psychiatry LLCGroup PAC ID 1254474588, 2 clinicians

Practice addresses (Care Compare)

609 E Surgery Ctr Dr
Terre Haute, IN 47802-6815
Phone (812) 917-5091

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01054293INMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash Valley Psychiatry, LLC Psychiatry CurrentSince Dec 20, 2009 Accepting new patients

Locations

609 E Surgery Center Dr
Terre Haute, IN 47802
Phone (812) 232-0725

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1174571574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478040323",
            "telephone_number": "812-231-8323",
            "fax_number": "812-231-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E SURGERY CENTER DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478026815",
            "telephone_number": "812-917-5091",
            "fax_number": "812-558-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "MATHEWS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01054293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200356060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.