Individual provider Active NPI

Priyanka Mathias, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Goshen, IN
National Provider Identifier
1699151522
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01093066A Issued in IN
Practice address
2024 Dorchester CT Ste 1
Goshen, IN 46526-6546
Phone
(574) 537-1221
Fax
(574) 537-1225
NPI assigned
Aug 3, 2015
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01093066A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01093066A IN Primary

Addresses

Primary practice location

2024 Dorchester CT Ste 1
Goshen, IN 46526-6546

Mailing address

2024 Dorchester CT Ste 1
Goshen, IN 46526-6546
Phone (574) 537-1221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address priyanka.mathias@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240323000109 IN Practitioner - Endocrinology 4789924119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

2024 Dorchester CT
Suite 1
Goshen, IN 46526-6546
Phone (574) 534-6752

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System Inc Internal Medicine CurrentSince Apr 8, 2024 Accepting new patients
Goshen Health System Inc CurrentSince Apr 8, 2024 Accepting new patients
Goshen Hospital Association Inc Current Accepting new patients

Locations

2024 Dorchester Ct
Ste 1
Goshen, IN 46526
Phone (574) 537-8326

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

Interoperability endpoints

  • Direct secure messaging: pmathias841233@nychhc.direct-ci.com
  • Direct secure messaging: priyanka.mathias@goshenhealthdirect.com

Organizations & group practices 3

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 2

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1699151522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 DORCHESTER CT STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266546",
            "telephone_number": "574-537-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 DORCHESTER CT STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266546",
            "telephone_number": "574-537-1221",
            "fax_number": "574-537-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "PRIYANKA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01093066A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01093066A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "priyanka.mathias@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2024 Dorchester Ct Ste 1",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465266546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.