Individual provider Active NPI

Ron Mathew, D.O.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1831535228
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A24439 Issued in CA
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
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

1945 Lakepointe Dr
Lewisville, TX 75057-6424
Phone (855) 732-5181

Other practice location 2

7406 Hollister Ave
Goleta, CA 93117-2583
Phone (855) 732-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190829002188 WA Practitioner - Family Practice 5294063194 Reassigns benefits to 1 organization
I20210525002715 FL Practitioner - Family Practice 5294063194

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Vpa PC Family Medicine CurrentSince Aug 1, 2019 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

  • Direct secure messaging: ron.mathew.1@33201.direct.athenahealth.com
  • Direct secure messaging: lmcrmathe@yourcarecommunity.org

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 and National Provider Directory roles.

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": "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"
        },
        {
            "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"
        }
    ],
    "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

Verify at the official NPI Registry.