NPIMap

Individual provider Active NPI

Cecilia Mathis, MD

  • Family Medicine Physician
  • Garnett, KS
National Provider Identifier
1467080689
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-48548 Issued in KS
Practice address
536 W 4TH Ave
Garnett, KS 66032-1355
Phone
(785) 448-2674
NPI assigned
Apr 1, 2020
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 04-48548 KS Primary

Addresses

Primary practice location

536 W 4TH Ave
Garnett, KS 66032-1355

Mailing address

PO Box 505408
Saint Louis, MO 63150-5408
Phone (785) 448-3131

Other practice location 1

624 E Front Ave
Spokane, WA 99202-2139
Phone (509) 626-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20231113001437 KS Practitioner - Family Practice 1759738792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Hospital of Garnett IncGroup PAC ID 8729071691, shared by 4 NPIs, 5 clinicians

Practice addresses (Care Compare)

421 S Maple St
Garnett, KS 66032-1334
Phone (785) 448-3131

421 S Maple St
PO Box 309
Garnett, KS 66032-0309

PO Box
Suite 309
Garnett, KS 66032

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-48548KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Hospital of Garnett Inc CurrentSince Jul 1, 2025 Accepting new patients
Saint Lukes Hospital of Garnett Inc Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Nov 1, 2023 Accepting new patients
Saint Lukes of Garnett Inc Past Accepting new patients
Parkview Heights Nursing and Rehabilitation Center LLC Past Accepting new patients
Saint Lukes Hospital of Garnett Inc Past Accepting new patients
Saint Lukes Hospital of Garnett Inc Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

Interoperability endpoints

  • Direct secure messaging: cmathis647939@direct.saint-lukes.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1467080689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505408",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505408",
            "telephone_number": "785-448-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 W 4TH AVE",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660321355",
            "telephone_number": "785-448-2674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 E Front Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992022139",
            "country_code": "US",
            "telephone_number": "509-626-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "CECILIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-48548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnett, KS

Sources for this page

Verify at the official NPI Registry.