Individual provider Active NPI

Steven C Mathus, M.D.

  • Obstetrics & Gynecology Physician
  • Belleville, IL
National Provider Identifier
1699714204
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036061379 Issued in IL
Practice address
180 S 3Rd St
Suite 200
Belleville, IL 62220-1952
Phone
(618) 233-0017
Fax
(618) 233-0251
NPI assigned
Jun 6, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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 036061379 IL Primary

Addresses

Primary practice location

180 S 3Rd St
Suite 200
Belleville, IL 62220-1952

Mailing address

180 S 3Rd St
Suite 200
Belleville, IL 62220-1952
Phone (618) 233-0017

Other identifiers 5

IdentifierTypeStateIssuer
8215125OtherILBLUE CROSS BLUE SHIELD
0707047OtherILUHC MEDICARE COMPLETE
036061379MedicaidIL
111843OtherMOALLIANCE BC/BS
2113V3948OtherILGROUP HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Women's Healthcare Il PC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1699714204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST",
            "address_2": "SUITE 200",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-233-0017",
            "fax_number": "618-233-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST",
            "address_2": "SUITE 200",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-233-0017",
            "fax_number": "618-233-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUS",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036061379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8215125",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MEDICARE COMPLETE",
            "identifier": "0707047",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061379",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE BC/BS",
            "identifier": "111843",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "2113V3948",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.