Michele A Mathieu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD11209 Issued in RI

Practice address

2 Meehan LN
Cumberland, RI 02864-1413

Phone

(401) 658-2525

Fax

(401) 658-3031

NPI assigned

Oct 26, 2006

Last updated

Nov 20, 2013By the provider in NPPES

Sex

Female

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 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 8, 2016 through May 8, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIBCAA
• Direct secure messaging: michele.mathieu.1@5974.direct.athenahealth.com
• Direct secure messaging: mmathieu@wih.cernerdirect.carene.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blackstone Valley Pediatrics

  • Pediatrics Physician
  • Cumberland, RI
  • NPI 1225227200
  NPD (past)
• Just Kids R.I. Sick Care LLC

  • Pediatrics Physician
  • Cumberland, RI
  • NPI 1811253370
  NPD (past)
• Ocean State Pediatrics Inc

  • Pediatrics Physician
  • East Greenwich, RI
  • NPI 1760526214
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1811072986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEEHAN LN",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641413",
            "telephone_number": "401-658-2525",
            "fax_number": "401-658-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEEHAN LN",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641413",
            "telephone_number": "401-658-2525",
            "fax_number": "401-658-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD11209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "1046647",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PY01057",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS BLUE CHIP",
            "identifier": "411014",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "465505",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9024223",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "12-03693",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "24223",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Mardo, MA
• Melanie Marques
• Kristen-Lyn F. Martin, FNP
• Luz Daniela Martinez
• Aubrey Masse, PHARMD
• Richard E Matte, CRNA
• Maxi Drug South LP (Rite Aid Pharmacy 10231)
• Jillian McCann, M.S., CCC-SLP
• Lorraine Theresa McIntosh, RPH
• Meaghan McIntyre

• Pediatrics Physician in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.