Active NPI
Antony Mathew, M.D.
- Emergency Medicine Physician
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME151315
- Practice address
- 300 Hospital Dr
Vallejo, CA 94589-2574 - Phone
- (925) 225-5837
- Fax
- (925) 225-5838
- NPI assigned
- Mar 30, 2017
- Last updated
- Feb 22, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | A169892 | CA | |
| Emergency Medicine Physician | 207P00000X | ME151315 | FL | Primary |
Addresses
Primary practice location
300 Hospital Dr
Vallejo, CA 94589-2574
Mailing address
15 Woodlawn Ave Apt B
Albany, NY 12208-3225
Phone (239) 822-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 553-7300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Pinellas PA | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Crossroads | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of St Petersburg PA | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
3070 Grand Ave
Pinellas Park, FL 33782
Phone (727) 553-7300
1800 66th St N
St Petersburg, FL 33710
Phone (727) 823-1234
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1851726566
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1538858774
-
- Emergency Medicine Physician
- Pinellas Park, FL
- NPI 1023590056
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayfront Health St Petersburg
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1184156010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WOODLAWN AVE APT B",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083225",
"telephone_number": "239-822-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892574",
"telephone_number": "925-225-5837",
"fax_number": "925-225-5838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ANTONY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A169892",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME151315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.