Organization Active NPI

Jeffrey L Mathews MD a Professional Corporation

  • Rheumatology Physician
  • Provo, UT
National Provider Identifier
1487706826
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
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

Updated by the provider on May 7, 2025

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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
24120OtherUTPEHP
36279OtherUTDMBA
529705371035MedicaidUT
52970537101001OtherUTBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050818000067 UT Part B Supplier - Clinic/Group Practice 8022048198 Receives reassigned benefits from 5 practitioners
Practice locations: Provo, UT; Spanish Fork, UT

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.