NPIMap

Individual provider Active NPI

Dani Mathew, M.D.

  • Family Medicine Physician
  • Dunedin, FL
National Provider Identifier
1679766414
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME101657 Issued in FL
Practice address
180 Patricia Ave
Dunedin, FL 34698-8103
Phone
(727) 733-4193
Fax
(813) 635-2638
NPI assigned
Aug 24, 2007
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME101657 FL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME101657 FL

Addresses

Primary practice location

180 Patricia Ave
Dunedin, FL 34698-8103

Mailing address

180 Patricia Ave
Dunedin, FL 34698-8103
Phone (727) 733-4193

Other identifiers 2

IdentifierTypeStateIssuer
001247700MedicaidFL
P00738915OtherFLRAILROAD MEDICARE PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dani.Mathew@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090724000695 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 2567515414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

180 Patricia Ave
Dunedin, FL 34698-8103
Phone (727) 733-4193

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101657FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Aug 3, 2009 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Aug 3, 2009 Accepting new patients

Locations

2350 Sunset Point Rd
Ste C
Clearwater, FL 33765
Phone (727) 797-3155

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

180 Patricia Ave
Dunedin, FL 34698
Phone (727) 733-4193

180 Patricia Ave
Ste Pcp
Dunedin, FL 34698

Interoperability endpoints

  • Direct secure messaging: dani.mathew@direct.mybaycare.org

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
East Bay Rehabilitation CenterClearwater, FL, CCN 105697 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 17, 2022
Jan 29, 2025
The Cedar at Mease LifeDunedin, FL, CCN 105732 Skilled nursing facility Adp of the SNF Jun 1, 2025
Regency Oaks Health CenterClearwater, FL, CCN 105744 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2026
Feb 23, 2026

Owned or controlled facilities with NPI records 3

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

  • CCRC - Regency Oaks, LLC

    dba Regency Oaks Health Center

    • Skilled Nursing Facility
    • Clearwater, FL
    • NPI 1164836425

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • East Bay NC, LLC

    dba East Bay Rehabilitation Center

    • Skilled Nursing Facility
    • Clearwater, FL
    • NPI 1598752180

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Mease Life Inc

    dba The Cedar at Mease Life

    • Skilled Nursing Facility
    • Dunedin, FL
    • NPI 1487640389

    Adp of the SNF

    CMS ownership

Organizations & group practices 2

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1679766414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988103",
            "telephone_number": "727-733-4193",
            "fax_number": "813-635-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988103",
            "telephone_number": "727-733-4193",
            "fax_number": "813-635-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "DANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101657",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME101657",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001247700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00738915",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dani.Mathew@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.