Individual provider Active NPI

Jerry Mathew, M.D.

  • Hospitalist Physician
  • Orlando, FL
National Provider Identifier
1629509567
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME143445 Issued in FL
Practice address
13800 Veterans Way
Orlando, FL 32827-7401
Phone
(407) 631-1000
Fax
(855) 253-4836
NPI assigned
Mar 22, 2017
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME143445 FL
Hospitalist Physician 208M00000X 33682 NE
Hospitalist Physician 208M00000X MD17558 RI
Hospitalist Physician 208M00000X ME143445 FL Primary

Addresses

Primary practice location

13800 Veterans Way
Orlando, FL 32827-7401

Mailing address

807 River Boat Cir
Orlando, FL 32828-9112

Other practice location 1

2620 W Faidley Ave
Grand Island, NE 68803-4205
Phone (308) 384-4600

Other practice location 2

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NE, RI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200901001654 FL Practitioner - HospitalistPractitioner - Internal Medicine 8123356722 Reassigns benefits to 4 organizations
I20210921000667 NE Practitioner - HospitalistPractitioner - Internal Medicine 8123356722 Reassigns benefits to 1 organization
I20220105002554 RI Practitioner - Hospitalist 8123356722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services Landmark LLCGroup PAC ID 3274761069, shared by 5 NPIs, 48 clinicians
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

2620 W Faidley Ave
St Francis Medical Center
Grand Island, NE 68803-4205
Phone (308) 384-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME143445FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince May 30, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc Internal Medicine CurrentSince May 30, 2021 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince May 30, 2021 Accepting new patients
HPP Physicians LLC Internal Medicine CurrentSince Aug 2, 2020 Accepting new patients
CHI Health Clinic Specialty, LLC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Maxhealth Now of Florida, LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Prime Healthcare Services Landmark LLC Internal Medicine CurrentSince Sep 29, 2021 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Feb 1, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince May 30, 2021 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Sep 29, 2021 Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

2055 Wood St
Ste 100
Sarasota, FL 34237
Phone (941) 202-5342

3844 Bee Ridge Rd
Fl 2
Sarasota, FL 34233
Phone (941) 202-5342

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

115 Cass Ave
#2
Woonsocket, RI 02895
Phone (401) 597-5070

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1629509567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 RIVER BOAT CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277401",
            "telephone_number": "407-631-1000",
            "fax_number": "855-253-4836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 W Faidley Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688034205",
            "country_code": "US",
            "telephone_number": "308-384-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954705",
            "country_code": "US",
            "telephone_number": "401-769-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JERRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME143445",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "33682",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "RI",
            "license": "MD17558",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME143445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.