Individual provider Active NPI

Vipin Mathew, DO

  • Family Medicine Physician
  • Phenix City, AL
National Provider Identifier
1942950134
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
102561 Issued in GA
Practice address
5009 Riverchase Dr Ste 500
Phenix City, AL 36867-7490
Phone
(334) 448-9505
Fax
(334) 448-9575
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 102561 GA Primary
Family Medicine Physician 207Q00000X 125079265 IL

Addresses

Primary practice location

5009 Riverchase Dr Ste 500
Phenix City, AL 36867-7490

Mailing address

McGaw Northwestern Family Medicine
298 Randall Road
Geneva, IL 60134
Phone (630) 208-3000

Other practice location 1

RMG Family Medicine
298 Randall Road
Geneva, IL 60134
Phone (630) 208-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250710001942 AL Practitioner - Family Practice 2668852427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5009 Riverchase Dr
Suite 500
Phenix City, AL 36867-7490
Phone (334) 448-9505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102561GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Central Dupage Physician Group PastSince Apr 1, 2022 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine PastSince Oct 31, 2021 Accepting new patients

Locations

5009 Riverchase Dr
Ste 500
Phenix City, AL 36867
Phone (334) 448-9505

1810 Stadium Dr
Ste 240
Phenix City, AL 36867
Phone (334) 291-8303

298 Randall Rd
Geneva, IL 60134
Phone (630) 938-3300

Organizations & group practices 4

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 1

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1942950134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCGAW NORTHWESTERN FAMILY MEDICINE",
            "address_2": "298 RANDALL ROAD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-208-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DR STE 500",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677490",
            "telephone_number": "334-448-9505",
            "fax_number": "334-448-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "RMG Family Medicine",
            "address_2": "298 Randall Road",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "60134",
            "country_code": "US",
            "telephone_number": "630-208-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "VIPIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "102561",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125079265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.