Active NPI
Regine Junie Mathieu, MD
- Dermatology Physician
- Fresno, CA
National Provider Identifier
1285130401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- LP04775
- Practice address
- 1125 E Spruce Ave Ste 207
Fresno, CA 93720-3390 - Phone
- (559) 435-7546
- NPI assigned
- Apr 5, 2018
- Last updated
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | LP04775 | RI | Primary |
Addresses
Primary practice location
1125 E Spruce Ave Ste 207
Fresno, CA 93720-3390
Mailing address
1972 Westhill Run
Windermere, FL 34786-6229
Phone (407) 455-1231
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- New York Medical College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 E Spruce Ave
Suite 207
Fresno, CA 93720-3390
Phone (559) 435-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.13 of 100
- Quality
- 33.48
- Improvement activities
- 40
- Cost
- 52.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
| Removal of skin lesions | 164 |
| Removal of skin cancer | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen L Behr M D Inc | Single Specialty | Current | Accepting new patients |
| CPP 435Skin PC | Single Specialty | Current | Accepting new patients |
Locations
1125 E Spruce Ave
Ste 207
Fresno, CA 93720
Phone (559) 435-7546
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1285130401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1972 WESTHILL RUN",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866229",
"telephone_number": "407-455-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 E SPRUCE AVE STE 207",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203390",
"telephone_number": "559-435-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEU",
"first_name": "REGINE",
"middle_name": "JUNIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "RI",
"license": "LP04775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.