Individual provider Active NPI

Veena Mathad, M.D.

  • Pediatrics Physician
  • Arvada, CO
National Provider Identifier
1720127970
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
41871 Issued in CO
Practice address
12500 W 58TH Ave Unit 233
Arvada, CO 80002-1104
Phone
(720) 536-5282
Fax
(720) 596-4364
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41871 CO Primary

Addresses

Primary practice location

12500 W 58TH Ave Unit 233
Arvada, CO 80002-1104

Mailing address

12500 W 58TH Ave Unit 233
Arvada, CO 80002-1104
Phone (720) 536-5282

Other practice location 1

2020 Wadsworth Blvd
Suite 16
Lakewood, CO 80214-5730
Phone (303) 233-8701

Other identifiers 1

IdentifierTypeStateIssuer
50476556MedicaidCO

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41871COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Eye Health Center, Inc. Past Accepting new patients
Sunflower Pediatrics, PC Pediatrics Past Accepting new patients
Rocky Mountain Pediatrics PC Pediatrics PastSince Aug 10, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: veena.mathad.1@8319.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8319/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720127970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE UNIT 233",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021104",
            "telephone_number": "720-536-5282",
            "fax_number": "720-596-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE UNIT 233",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021104",
            "telephone_number": "720-536-5282",
            "fax_number": "720-596-4364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Wadsworth Blvd",
            "address_2": "Suite 16",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802145730",
            "country_code": "US",
            "telephone_number": "303-233-8701",
            "fax_number": "303-233-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHAD",
        "first_name": "VEENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "41871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50476556",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.