Active NPI
Jeffrey L Mathews MD a Professional Corporation
- Rheumatology Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- JEFFREY L MATHEWS MD A PROFESSIONAL CORPORATION
- Practice address
- 3507 N University Ave Ste 100
Provo, UT 84604-4479 - Phone
- (801) 818-1940
- Fax
- (801) 818-1945
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Nielson, DO
- Title
- Owner
- Phone
- (801) 818-1940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
3507 N University Ave Ste 100
Provo, UT 84604-4479
Mailing address
3507 N University Ave Ste 100
Provo, UT 84604-4479
Phone (801) 818-1940
Other practice location 1
3650 N University Ave
150
Provo, UT 84604-6656
Phone (801) 818-1940
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24120 | Other | UT | PEHP |
| 36279 | Other | UT | DMBA |
| 529705371035 | Medicaid | UT | |
| 52970537101001 | Other | UT | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3650 N University Ave
Ste 150
Provo, UT 84604
Phone (801) 818-1940
3685 N 100 E
#A
Provo, UT 84604
Phone (801) 229-1054
3507 N University Ave
Ste 100
Provo, UT 84604
Phone (208) 247-5050
852 Expressway Ln
Spanish Fork, UT 84660
Phone (801) 794-7947
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJABCA
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Provo, UT
- NPI 1528542644
-
- Rheumatology Physician
- Provo, UT
- NPI 1255402798
-
- Rheumatology Physician
- St George, UT
- NPI 1518968015
-
- Rheumatology Physician
- Provo, UT
- NPI 1073622288
-
- Nurse Practitioner
- Nampa, ID
- NPI 1932889318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1487706826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 N UNIVERSITY AVE STE 100",
"city": "PROVO",
"state": "UT",
"postal_code": "846044479",
"telephone_number": "801-818-1940",
"fax_number": "801-818-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 N UNIVERSITY AVE STE 100",
"city": "PROVO",
"state": "UT",
"postal_code": "846044479",
"telephone_number": "801-818-1940",
"fax_number": "801-818-1945"
}
],
"practiceLocations": [
{
"address_1": "3650 N University Ave",
"address_2": "150",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846046656",
"country_code": "US",
"telephone_number": "801-818-1940",
"fax_number": "801-818-1945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JEFFREY L MATHEWS MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "NIELSON",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-818-1940",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "24120",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "36279",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529705371035",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "52970537101001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.