NPIMap

Individual provider Active NPI

Ajay Mathew, D.O.

  • Nephrology Physician
  • Zephyrhills, FL
National Provider Identifier
1346528296
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS14176 Issued in FL
Practice address
36763 Eiland Blvd Ste 103
Zephyrhills, FL 33542-0600
Phone
(813) 994-3389
Fax
(813) 355-5051
NPI assigned
Jul 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS14176 FL Primary

Addresses

Primary practice location

36763 Eiland Blvd Ste 103
Zephyrhills, FL 33542-0600

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4975

Other practice location 1

38135 Market Sq
Zephyrhills, FL 33542-7505
Phone (813) 778-0444

Other identifiers 1

IdentifierTypeStateIssuer
019525800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nephrology@flmed.directbygreenway.com Health Information Exchange (HIE)

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
I20170221000693 FL Practitioner - NephrologyPractitioner - Internal Medicine 8729362637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohi West Medical Group II LLC 407 clinicians

Practice addresses (Care Compare)

2100 Via Bella Blvd
Land O Lakes, FL 34639-5429

2241 Green Hedges Way
Wesley Chapel, FL 33544-6966
Phone (813) 782-3727

36763 Eiland Blvd
Zephyrhills, FL 33542-0600

36819 Eiland Blvd
Suite 101
Zephyrhills, FL 33542-0600
Phone (813) 778-0408

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380

38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440

38135 Market Square Dr
Zephyrhills, FL 33542-7505

6606 Stadium Dr
Zephyrhills, FL 33542-7510
Phone (813) 788-5575

Hospital & facility affiliations

  • DaVita Zephyrhills Dialysis Dialysis facility, Zephyrhills, FL, CCN 102593
  • DaVita Land O Lakes Dialysis Dialysis facility, Land O Lakes, FL, CCN 682598
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Florida Medical Clinic LLC CurrentSince Jan 1, 2017 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Jan 1, 2017 Accepting new patients
Ohi West Medical Group II LLC Past Accepting new patients

Locations

2241 Green Hedges Way
Ste 101
Wesley Chapel, FL 33544
Phone (813) 388-6855

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

36763 Eiland Blvd
Ste 103
Zephyrhills, FL 33542
Phone (813) 782-3727

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1346528296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-528-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36763 EILAND BLVD STE 103",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335420600",
            "telephone_number": "813-994-3389",
            "fax_number": "813-355-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38135 Market Sq",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335427505",
            "country_code": "US",
            "telephone_number": "813-778-0444",
            "fax_number": "813-355-5017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "AJAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS14176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019525800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nephrology@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "36763 Eiland Blvd Ste 103",
            "city": "Zephyrhills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335420600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.