Individual provider Active NPI

Ajith Thomas Mathew, M.D.

  • Hospitalist Physician
  • Brockton, MA
National Provider Identifier
1932495835
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
260971 Issued in MA
Practice address
680 Centre St
Brockton, MA 02302-3308
Phone
(508) 941-7000
Fax
(508) 941-6299
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 MT198812 PA
Hospitalist Physician 208M00000X 260971 MA Primary

Addresses

Primary practice location

680 Centre St
Brockton, MA 02302-3308

Mailing address

800 West St
Unit 2310
Braintree, MA 02184-3852
Phone (508) 941-7000

Other practice location 1

43 High St
Wareham, MA 02571-2097
Phone (508) 973-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000790 MA Practitioner - HospitalistPractitioner - Internal Medicine 5991028086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT198812PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. Family Medicine Current Accepting new patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. Family Medicine CurrentSince May 1, 2023 Accepting new patients
Sound Physicians of Massachusetts Inc Family Medicine Current Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

43 High St
Wareham, MA 02571
Phone (508) 273-4200

Interoperability endpoints

  • Direct secure messaging: amathew68874@direct.southcoast.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1932495835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEST ST",
            "address_2": "UNIT 2310",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843852",
            "telephone_number": "508-941-7000",
            "fax_number": "508-941-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7000",
            "fax_number": "508-941-6299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 High St",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025712097",
            "country_code": "US",
            "telephone_number": "508-973-5919",
            "fax_number": "508-973-5916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "AJITH",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT198812",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "260971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.