Individual provider Active NPI

James Mathew, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1669009981
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD481342 Issued in PA
Practice address
1575 N 52ND St Ste S-3
Philadelphia, PA 19131-4736
Phone
(267) 930-4858
Fax
(267) 299-6270
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD481342 PA Primary

Addresses

Primary practice location

1575 N 52ND St Ste S-3
Philadelphia, PA 19131-4736

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

1321 Wells St
Philadelphia, PA 19111-4921
Phone (215) 354-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231107000256 PA Practitioner - Internal MedicinePractitioner - Hospitalist 1052768439 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Pennsylvania Holding, LLC CurrentSince Nov 1, 2025 Accepting new patients
Lancaster General Hospital Internal Medicine CurrentSince Sep 24, 2023 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Lancaster General Hospital CurrentSince Sep 24, 2023 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

1575 N 52nd St
Ste S3
Philadelphia, PA 19131
Phone (267) 930-4858

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1669009981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117",
            "fax_number": "305-393-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 52ND ST STE S-3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314736",
            "telephone_number": "267-930-4858",
            "fax_number": "267-299-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 Wells St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191114921",
            "country_code": "US",
            "telephone_number": "215-354-6061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD481342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.