Active NPI
Nivedita Mathur, M.D.
- Psychiatry Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME121537
- Practice address
- 11373 Cortez Blvd Ste 301
Brooksville, FL 34613-5411 - Phone
- (352) 293-3467
- Fax
- (352) 293-4438
- NPI assigned
- Nov 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MT195787 | PA | |
| Geriatric Psychiatry Physician | 2084P0805X | ME121537 | FL | |
| Psychiatry Physician | 2084P0800X | ME121537 | FL | Primary |
Addresses
Primary practice location
11373 Cortez Blvd Ste 301
Brooksville, FL 34613-5411
Mailing address
PO Box 3399
Spring Hill, FL 34611-3399
Phone (352) 293-3467
Other practice location 1
3840 Atmore Grove Dr
Lutz, FL 33548-7903
Phone (813) 607-3600
Other practice location 2
17535 Darby Ln
Lutz, FL 33558-4817
Phone (813) 867-8879
Other practice location 3
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632
Other practice location 4
12440 Cortez Blvd
Brooksville, FL 34613-2628
Phone (352) 592-4259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014665700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3840 Atmore Grove Dr
Lutz, FL 33548-7903
Phone (813) 607-3600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT195787 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Mental Health LLC | Psychiatry | Current | Accepting new patients |
Locations
11373 Cortez Blvd
Ste 301
Brooksville, FL 34613
Phone (352) 596-0744
3840 Atmore Grove Dr
Lutz, FL 33548
Phone (813) 607-3600
17535 Darby Ln
Lutz, FL 33558
Phone (352) 293-3467
12440 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 592-4250
7074 Grove Rd
Spring Hill, FL 34609
Phone (352) 540-9335
7007 Grove Rd
Spring Hill, FL 34609
Phone (352) 596-4306
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
Networks
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Brooksville, FL
- NPI 1013374354
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1780986448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3399",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346113399",
"telephone_number": "352-293-3467",
"fax_number": "352-293-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD STE 301",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135411",
"telephone_number": "352-293-3467",
"fax_number": "352-293-4438"
}
],
"practiceLocations": [
{
"address_1": "3840 Atmore Grove Dr",
"address_purpose": "LOCATION",
"city": "Lutz",
"state": "FL",
"postal_code": "335487903",
"country_code": "US",
"telephone_number": "813-607-3600",
"fax_number": "813-607-3995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17535 Darby Ln",
"address_purpose": "LOCATION",
"city": "Lutz",
"state": "FL",
"postal_code": "335584817",
"country_code": "US",
"telephone_number": "813-867-8879",
"fax_number": "813-512-6078",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11375 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346135409",
"country_code": "US",
"telephone_number": "352-596-6632",
"fax_number": "352-597-3024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12440 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346132628",
"country_code": "US",
"telephone_number": "352-592-4259",
"fax_number": "352-592-4240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHUR",
"first_name": "NIVEDITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MT195787",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "ME121537",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME121537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014665700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.