Active NPI
Chavaramplakil Paulose Mathew, M.D
- Nephrology Physician
- Kenner, LA
National Provider Identifier
1851376800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 06320R
- Practice address
- 200 W Esplanade Ave
Kenner, LA 70065-2489 - Phone
- (504) 251-8483
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 06320R | LA | Primary |
Addresses
Primary practice location
200 W Esplanade Ave
Kenner, LA 70065-2489
Mailing address
296 Stone Ridge Dr
Sunnyvale, TX 75182-2635
Phone (504) 251-8483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1342564 | Medicaid | LA |
Other names 1
- Dr. C P Mathew
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06320R | LA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1851376800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 STONE RIDGE DR",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751822635",
"telephone_number": "504-251-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652489",
"telephone_number": "504-251-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "CHAVARAMPLAKIL",
"middle_name": "PAULOSE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "06320R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1342564",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "C",
"last_name": "MATHEW",
"middle_name": "P",
"prefix": "DR.",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.