Samuel P Mathew, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036065418 Issued in IL

Practice address

14475 John Humphrey Dr Ste 100
Orland Park, IL 60462-6216

Phone

(708) 206-0305

Fax

(708) 206-0300

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Intra-Hearts Service Corporation

  • Cardiovascular Disease Physician
  • Orland Park, IL
  • NPI 1952467375

  Cardiovascular Disease, IL

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1801959705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620947",
            "telephone_number": "708-206-0305",
            "fax_number": "708-206-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14475 JOHN HUMPHREY DR STE 100",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626216",
            "telephone_number": "708-206-0305",
            "fax_number": "708-206-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SAMUEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036065418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0031603366",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "010025068",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065418",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleksandra G Maslowiec
• Lyna Massih, MD
• Master Home Therapy & Transport Services
• Maternal Fetal Medicine Consultants of Il, PC
• Amedee Charles Mathelier, MD
• Vilma Matthews
• Tahlor E Mattison, CTD
• Joy Mattson-Petrusha, RD
• Erin Elizabeth Mattucci, LCSW
• Stephen D Matz, MS, CRNA

• All providers in Orland Park, IL
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.