Active NPI
Abraham Mathew, MD
- Family Medicine Physician
- Finksburg, MD
National Provider Identifier
1396753448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D53705
- Practice address
- 3125 Baltimore Blvd
Finksburg, MD 21048-2307 - Phone
- (410) 861-8151
- Fax
- (410) 833-9045
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Owings Mills, MD
- NPI 1144400805
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3125 Baltimore Blvd
Finksburg, MD 21048-2307
Phone (410) 861-8151
P O Box
Suite 367
Finksburg, MD 21048-2307
Hospital & facility affiliations
- Homecare Maryland, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090623000122 | MD | Practitioner - Family Practice | 7810934163 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D53705 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abraham Mathew, M.D, PC | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3125 Baltimore Blvd
Finksburg, MD 21048
Phone (410) 861-8151
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D53705 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3125 Baltimore Blvd
Finksburg, MD 21048-2307
Mailing address
3125 Baltimore Blvd
PO Box 436
Finksburg, MD 21048-2307
Phone (410) 861-8151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396753448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 BALTIMORE BLVD",
"address_2": "PO BOX 436",
"city": "FINKSBURG",
"state": "MD",
"postal_code": "210482307",
"telephone_number": "410-861-8151",
"fax_number": "410-833-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 BALTIMORE BLVD",
"city": "FINKSBURG",
"state": "MD",
"postal_code": "210482307",
"telephone_number": "410-861-8151",
"fax_number": "410-833-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D53705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Finksburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.