NPIMap

Individual provider Active NPI

Biju T Mathews, MD

  • Interventional Cardiology Physician
  • Titusville, FL
National Provider Identifier
1386692804
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
89508 Issued in FL
Practice address
605 N Washington Ave
Suite 100
Titusville, FL 32796-2152
Phone
(321) 383-7600
Fax
(321) 383-8111
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 89508 FL Primary
Cardiovascular Disease Physician 207RC0000X ME89508 FL

Addresses

Primary practice location

605 N Washington Ave
Suite 100
Titusville, FL 32796-2152

Mailing address

605 N Washington Ave
Suite 100
Titusville, FL 32796-2152
Phone (321) 383-7600

Other identifiers 1

IdentifierTypeStateIssuer
2676401-00MedicaidFL

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
I20040618000817 FL Practitioner - Cardiovascular Disease (Cardiology) 6305821067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
George Washington University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cardiovascular Association PAGroup PAC ID 7012904527, 2 clinicians

Practice addresses (Care Compare)

605 N Washington Ave
Suite 100
Titusville, FL 32796-2152
Phone (321) 383-7600

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89508FLMDCardiovascular Disease Physician
89508FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiovascular Association PA Cardiovascular Disease CurrentSince May 15, 2006 Accepting new patients
Shands at Lake Shore Inc Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients

Locations

605 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 228-9822

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bmathews71764@epicdirect.hf.org

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 6

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1386692804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962152",
            "telephone_number": "321-383-7600",
            "fax_number": "321-383-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962152",
            "telephone_number": "321-383-7600",
            "fax_number": "321-383-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "BIJU",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "89508",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME89508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2676401-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.