Susan Mathew

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R183817 Issued in MD

Practice address

3411 Olandwood CT Ste 105
Olney, MD 20832-1488

Phone

(301) 910-4617

NPI assigned

Feb 22, 2022

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Spine and Pain Center LLCGroup PAC ID 5890057590, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

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.

• Synergy Spine and Pain Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Glenn Dale, MD
  • NPI 1912413659

  DC, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Express Healthcare, LLC

  • Urgent Care Clinic/Center
  • Berwyn Heights, MD
  • NPI 1598994733

  DC, Multi-Specialty

  Medicare reassignment NPD
• Wellness Source LLC

  dba Your Wellness Sources

  • Family Nurse Practitioner
  • Hyattsville, MD
  • NPI 1780031724

  DC

  Medicare reassignment
• Med-Ped Health Care LLC

  • Family Medicine Physician
  • Berwyn Heights, MD
  • NPI 1336296730

  Multi-Specialty

  NPD
• Express Healthcare, LLC

  • Urgent Care Clinic/Center
  • College Park, MD
  • NPI 1447605712
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1609521335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 ROSALIE LN",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371783",
            "telephone_number": "301-910-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 OLANDWOOD CT STE 105",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321488",
            "telephone_number": "301-910-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R183817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Sportscare & Rehab LLC (Pivot Physical Therapy of Maryland)
• Maryland Visiting Providers LLC
• Denika Lynette Mason
• Renu Elsa Mathew, O.D.
• Roy Mathew
• Alok Mathur, MD
• Matrice W Browne MD LLC
• Richard Urban Mattson, D.M.D.
• Austin W. Maxwell, D.D.S.
• Christopher John Mays, M.D.

• Acute Care Nurse Practitioner in Olney, MD
• Providers in Olney, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.