Individual provider Active NPI

Lincy Mathew, M.D.

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1225046261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63711 Issued in CA
Practice address
716 Mowry Ave
Fremont, CA 94536-4115
Phone
(510) 791-5475
Fax
(510) 791-1542
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63711 CA Primary

Addresses

Primary practice location

716 Mowry Ave
Fremont, CA 94536-4115

Mailing address

716 Mowry Ave
Fremont, CA 94536-4115
Phone (510) 791-5475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051129000806 CA Practitioner - Internal Medicine 2062432560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Township Medical FoundationGroup PAC ID 2860687050, 125 clinicians

Practice addresses (Care Compare)

2557 Mowry Ave
Fremont, CA 94538-1614

39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2101
Phone (510) 687-9510

Hospital & facility affiliations

  • Amore Home Health Home health agency, Fremont, CA, CCN 059509
  • Care in Touch Home Health Agency Home health agency, Fremont, CA, CCN 059554
  • Amedisys Home Health Care Home health agency, Hayward, CA, CCN 557194
  • We Care Home Care and Hospice, Inc. Home health agency, Fremont, CA, CCN 059413
  • Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63711CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation CurrentSince Nov 1, 2010 Accepting new patients
Washington Township Medical Foundation Internal Medicine CurrentSince Nov 1, 2010 Accepting new patients

Locations

2557 Mowry Ave
Ste 10
Fremont, CA 94538
Phone (510) 248-1843

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

2500 Mowry Ave
Ste 255
Fremont, CA 94538

2557 Mowry Ave
Ste 12
Fremont, CA 94538
Phone (510) 248-1550

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

Interoperability endpoints

  • Direct secure messaging: lmathew7137@direct.whhs.com

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.

Hospital & facility affiliations 5

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225046261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364115",
            "telephone_number": "510-791-5475",
            "fax_number": "510-791-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364115",
            "telephone_number": "510-791-5475",
            "fax_number": "510-791-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "LINCY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.