Active NPI
Shema Joseph Mathew, M.D.
- Neurological Surgery Physician
- Silver Spring, MD
National Provider Identifier
1568604932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- D0045362
- Practice address
- 10301 Georgia Ave
Suite #303
Silver Spring, MD 20902-5020 - Phone
- (301) 538-0869
- Fax
- (301) 774-5365
- NPI assigned
- Apr 1, 2009
- Last updated
- Feb 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | D0045362 | MD | Primary |
Addresses
Primary practice location
10301 Georgia Ave
Suite #303
Silver Spring, MD 20902-5020
Mailing address
16404 Signature CT
Rockville, MD 20853-3287
Phone (301) 538-0869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417119500 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0045362 | MD | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Silver Spring, MD
- NPI 1609015767
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1568604932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16404 SIGNATURE CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208533287",
"telephone_number": "301-538-0869",
"fax_number": "301-774-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 GEORGIA AVE",
"address_2": "SUITE #303",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025020",
"telephone_number": "301-538-0869",
"fax_number": "301-774-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "SHEMA",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MD",
"license": "D0045362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417119500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.