NPIMap

Individual provider Active NPI

Thomas Mathews, MD

  • Specialist
  • Brooksville, FL
National Provider Identifier
1316926421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME79158 Issued in FL
Practice address
14533 Cortez Blvd
Brooksville, FL 34613-6065
Phone
(352) 597-2008
Fax
(352) 597-2070
NPI assigned
Jan 17, 2006
Sex
Male
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
Specialist 174400000X ME79158 FL Primary

Addresses

Primary practice location

14533 Cortez Blvd
Brooksville, FL 34613-6065

Mailing address

18643 Avenue Capri
Lutz, FL 33558-5346
Phone (813) 948-6696

Other identifiers 3

IdentifierTypeStateIssuer
421557400OtherFLTAX ID
ME79158OtherFLFLORIDA STATE MEDICAL LIC
258295300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000288 FL Practitioner - Cardiovascular Disease (Cardiology) 2062313638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Medical College of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Luke Heart Institute IncGroup PAC ID 4486759362, 2 clinicians

Practice addresses (Care Compare)

14533 Cortez Blvd
Brooksville, FL 34613-6065

Hospital & facility affiliations

  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Pacemaker insertion or repair1-10
Varicose vein removal102
Leg revascularization (restoring blood flow)99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79158FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
St Luke Heart Institute Inc Specialist CurrentSince Apr 24, 2006 Accepting new patients
Atm Health LLC Past Accepting new patients

Locations

14533 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-2008

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tmathews296152@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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 4

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316926421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18643 AVENUE CAPRI",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585346",
            "telephone_number": "813-948-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14533 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136065",
            "telephone_number": "352-597-2008",
            "fax_number": "352-597-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME79158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "421557400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE MEDICAL LIC",
            "identifier": "ME79158",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258295300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.