Individual provider Active NPI

Ann E Mathias, D.O.

  • Family Medicine Physician
  • Byron Center, MI
National Provider Identifier
1255394185
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012832 Issued in MI
Practice address
7751 Byron Center Ave SW
Suite a
Byron Center, MI 49315-8001
Phone
(616) 878-3321
Fax
(616) 878-0858
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012832 MI Primary

Addresses

Primary practice location

7751 Byron Center Ave SW
Suite a
Byron Center, MI 49315-8001

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Other identifiers 1

IdentifierTypeStateIssuer
1255394185MedicaidMI

Other names 1

  • Ann E Breitweiser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170306000854 AZ Practitioner - Family Practice 5294775235 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

535 N Wilmot Rd
2ND FL
Tucson, AZ 85711-2600
Phone (520) 694-1234

Hospital & facility affiliations

  • Banner-University Medical Center South Campus Hospital, Tucson, AZ, CCN 030111

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Apr 1, 2017 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
Banner-University Medical Group Family Medicine CurrentSince Apr 1, 2017 Accepting new patients
B--Umg Integrated Health Clinic, LLC CurrentSince Jul 19, 2017 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
Banner - University Medical Center Tucson Campus LLC Past Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234

707 N Alvernon Way
Ste 201
Tucson, AZ 85711
Phone (520) 694-1725

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778

707 N Alvernon Way
Ste 101
Tucson, AZ 85711
Phone (520) 694-1611

707 N Alvernon Way
Ste 10
Tucson, AZ 85711

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

707 N Alvernon Way
Ste 20
Tucson, AZ 85711

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

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.

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1255394185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 BYRON CENTER AVE SW",
            "address_2": "SUITE A",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158001",
            "telephone_number": "616-878-3321",
            "fax_number": "616-878-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "ANN",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255394185",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "BREITWEISER",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.