Active NPI
Sarah Mathew, MD
- General Practice Physician
- Rock Falls, IL
National Provider Identifier
1598832420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036062929
- Practice address
- 1300 W 2ND St
Rock Falls, IL 61071-1005 - Phone
- (815) 626-2230
- Fax
- (815) 626-2231
- NPI assigned
- Nov 29, 2006
- Last updated
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 036062929 | IL | Primary |
Addresses
Primary practice location
1300 W 2ND St
Rock Falls, IL 61071-1005
Mailing address
1300 W 2ND St
Rock Falls, IL 61071-1005
Phone (815) 626-2230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036062929 | Medicaid | IL | |
| 9800112 | Other | IL | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1598832420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W 2ND ST",
"city": "ROCK FALLS",
"state": "IL",
"postal_code": "610711005",
"telephone_number": "815-626-2230",
"fax_number": "815-626-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W 2ND ST",
"city": "ROCK FALLS",
"state": "IL",
"postal_code": "610711005",
"telephone_number": "815-626-2230",
"fax_number": "815-626-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "SARAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036062929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036062929",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9800112",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Falls, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.