Active NPI
A. Mathew Philip, M.D.
- Surgery Physician
- Washington, DC
National Provider Identifier
1770502924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD10157
- Practice address
- 3301 New Mexico Ave NW
Suite 212
Washington, DC 20016-3622 - Phone
- (202) 244-2304
- Fax
- (202) 244-2306
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD10157 | DC | Primary |
Addresses
Primary practice location
3301 New Mexico Ave NW
Suite 212
Washington, DC 20016-3622
Mailing address
3301 New Mexico Ave NW
Suite 212
Washington, DC 20016-3622
Phone (202) 244-2304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0261357 | Medicaid | DC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10157 | DC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770502924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 NEW MEXICO AVE NW",
"address_2": "SUITE 212",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200163622",
"telephone_number": "202-244-2304",
"fax_number": "202-244-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 NEW MEXICO AVE NW",
"address_2": "SUITE 212",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200163622",
"telephone_number": "202-244-2304",
"fax_number": "202-244-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "A. MATHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DC",
"license": "MD10157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0261357",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.