Individual provider Active NPI

Susanna A Mathe, M.D.

  • Neurology Physician
  • Richmond, VA
National Provider Identifier
1508837238
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101038574 Issued in VA
Practice address
165 Wadsworth Dr
Richmond, VA 23236-4500
Phone
(804) 272-9146
Fax
(804) 330-5929
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101038574 VA Primary

Addresses

Primary practice location

165 Wadsworth Dr
Richmond, VA 23236-4500

Mailing address

7301 Forest Ave
Suite 302
Richmond, VA 23226-3792
Phone (804) 288-2767

Other identifiers 1

IdentifierTypeStateIssuer
6100112MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101038574VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Associates, Inc. Neurology PastSince Feb 17, 1993 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1508837238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 FOREST AVE",
            "address_2": "SUITE 302",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263792",
            "telephone_number": "804-288-2767",
            "fax_number": "804-288-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WADSWORTH DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232364500",
            "telephone_number": "804-272-9146",
            "fax_number": "804-330-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHE",
        "first_name": "SUSANNA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101038574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6100112",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.