Active NPI
Alexis Mathura, D.O.
- Obstetrics & Gynecology Physician
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS17938
- Practice address
- 4240 Sun N Lake Blvd Ste 200
Sebring, FL 33872-1944 - Phone
- (863) 402-2229
- Fax
- (863) 402-1209
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS17938 | FL | Primary |
Addresses
Primary practice location
4240 Sun N Lake Blvd Ste 200
Sebring, FL 33872-1944
Mailing address
4240 Sun N Lake Blvd Ste 200
Sebring, FL 33872-1944
Other names 1
- Alexis Colter
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
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health System-Sunbelt Inc
Practice addresses (Care Compare)
1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777
37 Ryant Blvd
Sebring, FL 33870-8075
Phone (863) 402-7555
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 314-4466
Hospital & facility affiliations
- Adventhealth Sebring
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17938 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
37 Ryant Blvd
Sebring, FL 33870
Phone (863) 382-4894
4240 Sun N Lake Blvd
Ste 200
Sebring, FL 33872
Phone (863) 402-2229
515 Carlton St
Wauchula, FL 33873
Phone (863) 773-6606
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- alexis.colter.1@3830.direct.athenahealth.com
- amathura618012@adventhealth.direct-ci.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Family Medicine Physician
- Wauchula, FL
- NPI 1578725941
Obstetrics & Gynecology
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
Obstetrics & Gynecology
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Rural Health Clinic/Center
- Wauchula, FL
- NPI 1396046637
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1801286166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 SUN N LAKE BLVD STE 200",
"city": "SEBRING",
"state": "FL",
"postal_code": "338721944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 SUN N LAKE BLVD STE 200",
"city": "SEBRING",
"state": "FL",
"postal_code": "338721944",
"telephone_number": "863-402-2229",
"fax_number": "863-402-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHURA",
"first_name": "ALEXIS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS17938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "COLTER",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.