Intra-Hearts Service Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036065418 Issued in IL

Legal business name

INTRA-HEARTS SERVICE CORPORATION

Practice address

14475 John Humphrey Dr Ste 100
Orland Park, IL 60462-6216

Phone

(708) 206-0305

Fax

(708) 206-0300

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Samuel P Mathew, MDNPI 1801959705

Title

President

Phone

(708) 206-0305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel P Mathew, MD

  • Cardiovascular Disease Physician
  • Orland Park, IL
  • NPI 1801959705

  Cardiovascular Disease, IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1952467375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620947",
            "telephone_number": "708-206-0305",
            "fax_number": "708-206-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14475 JOHN HUMPHREY DR STE 100",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626216",
            "telephone_number": "708-206-0305",
            "fax_number": "708-206-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRA-HEARTS SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-206-0305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036065418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute of Neurobehavior Services SC
• Integrated Health Solutions LLC
• Integrated Health Solutions SC
• Integrative Manual Osteopathic Associates, Inc.
• Interventional Psychiatric Center of North America
• Lauren Irigoyen, PSYD
• Janet M Irvine, PSYD
• Sheree Isom, LCPC
• Shannon Istre, M.S., CCC-SLP
• J L Imaging Inc

• All providers in Orland Park, IL
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.