NPIMap

Individual provider Active NPI

Don K. Mathew, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Danville, PA
National Provider Identifier
1497902324
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD469335 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822
Phone
(570) 271-6012
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101254712 VA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 46385 TX
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD469335 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

1250 E Marshall St
Department of Neurology
Richmond, VA 23298-5051
Phone (804) 828-0445

Other practice location 2

4102 24th St Ste 504
Lubbock, TX 79410-1805
Phone (806) 743-7700

Other practice location 3

4102 24th St Ste 504
Lubbock, TX 79410-1805
Phone (806) 743-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmathew228804@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, NJ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170711001090 TX Practitioner - Pediatric Medicine 5395986095 Reassigns benefits to 1 organization
I20191011000935 PA Practitioner - Pediatric MedicinePractitioner - Neurology 5395986095 Reassigns benefits to 1 organization
I20230315002782 NJ Practitioner - Neurology 5395986095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101254712VAMDNeurology Physician
MD469335PAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epilepsy & Neurophysiology Medical Consultants, PA Neurology CurrentSince May 1, 2023 Accepting new patients
Geisinger Clinic CurrentSince Oct 21, 2019 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Oct 21, 2019 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jun 1, 2017 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jun 1, 2017 Accepting new patients
Epilepsy & Neurophysiology Medical Consultants PA Neurology Current Accepting new patients
Geisinger Medical Center Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

377 Jersey Ave
Ste 440
Jersey City, NJ 07302
Phone (201) 289-5551

303 George St
Ste 420
New Brunswick, NJ 08901
Phone (732) 828-1373

2 Capital Way
Fl 2
Pennington, NJ 08534
Phone (908) 522-4990

333 Westchester Ave
Ste E104
White Plains, NY 10604
Phone (914) 428-9213

100 N Academy Ave
Danville, PA 17822

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

4102 24th St
Ste 504
Lubbock, TX 79410
Phone (806) 725-6550

3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Interoperability endpoints

  • Direct secure messaging: dmathew228804@direct.geisinger.edu

Organizations & group practices 10

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 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1497902324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "17822",
            "telephone_number": "570-271-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Department of Neurology",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-0445",
            "fax_number": "804-828-4459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4102 24th St Ste 504",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101805",
            "country_code": "US",
            "telephone_number": "806-743-7700",
            "fax_number": "806-743-7703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4102 24th St Ste 504",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101805",
            "country_code": "US",
            "telephone_number": "806-743-7700",
            "fax_number": "806-743-7703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "DON",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101254712",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "46385",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PA",
            "license": "MD469335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmathew228804@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 N Academy Ave",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.