Individual provider Active NPI

Alexis Mathura, D.O.

  • Obstetrics & Gynecology Physician
  • Sebring, FL
National Provider Identifier
1801286166
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS17938 Issued in FL
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

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20220103000135 FL Practitioner - Obstetrics/Gynecology 2163849936 Reassigns benefits to 3 organizations

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 IncGroup PAC ID 0749232445, shared by 8 NPIs, 100 clinicians

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 Hospital, Sebring, FL, CCN 100109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17938FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc Obstetrics & Gynecology CurrentSince Jan 30, 2022 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Jan 30, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc Obstetrics & Gynecology CurrentSince Jan 30, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 30, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 30, 2022 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

  • Direct secure messaging: alexis.colter.1@3830.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.