Active NPI
Ron Mathew, D.O.
- Family Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A24439
- Practice address
- 10151 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-0566 - Phone
- (855) 732-5181
- Fax
- (866) 678-4281
- NPI assigned
- May 13, 2013
- Last updated
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A24439 | CA | Primary |
| Family Medicine Physician | 207Q00000X | OS15279 | FL |
Addresses
Primary practice location
10151 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-0566
Mailing address
PO Box 8549
Coral Springs, FL 33075-8549
Other practice location 1
7406 Hollister Ave
Goleta, CA 93117-2583
Phone (855) 732-5181
Other practice location 2
1945 Lakepointe Dr
Lewisville, TX 75057-6424
Phone (855) 732-5181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A24439 | CA | MD | Family Medicine Physician |
| OS15279 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Vpa PC | Family Medicine | Current | Accepting new patients |
Locations
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
606 Oakesdale Ave SW
Ste C200
Renton, WA 98057
Phone (866) 259-1629
Interoperability endpoints
- lmcrmathe@yourcarecommunity.org
- ron.mathew.1@33201.direct.athenahealth.com
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1831535228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8549",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330758549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 DEERWOOD PARK BLVD STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560566",
"telephone_number": "855-732-5181",
"fax_number": "866-678-4281"
}
],
"practiceLocations": [
{
"address_1": "7406 Hollister Ave",
"address_purpose": "LOCATION",
"city": "Goleta",
"state": "CA",
"postal_code": "931172583",
"country_code": "US",
"telephone_number": "855-732-5181",
"fax_number": "866-678-4281",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 Lakepointe Dr",
"address_purpose": "LOCATION",
"city": "Lewisville",
"state": "TX",
"postal_code": "750576424",
"country_code": "US",
"telephone_number": "855-732-5181",
"fax_number": "866-678-4281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEW",
"first_name": "RON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-13",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A24439",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS15279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.