NPIMap

Individual provider Active NPI

Donald Samuel Matheson, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1639272883
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
169748 Issued in NY
Practice address
135 W 27TH St
Fourth Floor
New York, NY 10001-6226
Phone
(212) 255-8992
Fax
(212) 463-9526
NPI assigned
Sep 6, 2006
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 169748 NY Primary

Addresses

Primary practice location

135 W 27TH St
Fourth Floor
New York, NY 10001-6226

Mailing address

135 W 27TH St
Fourth Floor
New York, NY 10001-6226
Phone (212) 255-8992

Other identifiers 6

IdentifierTypeStateIssuer
2C2763OtherNYHEALTHNET
299469OtherNYGHI
134078803OtherNYAETNA USHEALTH
P786723OtherNYOXFORD
18003 PRIS#29310POtherNYHIP HEALTH
95D301OtherNYBC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmatheson209266@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120517000414 NY Practitioner - Obstetrics/Gynecology 4789789306 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169748NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 1, 2017 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Jun 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Sep 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2014 Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
BMS @ GenesisBrooklyn, NY, CCN 331950 Federally qualified health center Other Jan 1, 1995
BMS Isis @ BristolBrooklyn, NY, CCN 331958 Federally qualified health center Other Jan 1, 1995
Brownsville Multi-Service Family Health CenterBrooklyn, NY, CCN 331836 Federally qualified health center Other Jan 1, 1995
Brownsville Multi-Service Family Health CenterBrooklyn, NY, CCN 331075 Federally qualified health center Other May 15, 2013

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1639272883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 27TH ST",
            "address_2": "FOURTH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016226",
            "telephone_number": "212-255-8992",
            "fax_number": "212-463-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 27TH ST",
            "address_2": "FOURTH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016226",
            "telephone_number": "212-255-8992",
            "fax_number": "212-463-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "DONALD",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "169748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C2763",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "299469",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTH",
            "identifier": "134078803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P786723",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH",
            "identifier": "18003 PRIS#29310P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "95D301",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmatheson209266@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "150 55th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112202508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.