Individual provider Active NPI

Nivedita Mathur, M.D.

  • Psychiatry Physician
  • Brooksville, FL
National Provider Identifier
1780986448
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME121537 Issued in FL
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

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
014665700MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150217000401 FL Practitioner - Psychiatry 0547486755 Reassigns benefits to 1 organization

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 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT195787PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Mental Health LLC Psychiatry CurrentSince Jan 1, 2016 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.