Individual provider Active NPI

Jacob S Unil Mathew, MD

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1952558736
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
237589 Issued in MA
Practice address
750 Washinton Street
Boston, MA 02111
Phone
(617) 636-7459
NPI assigned
Aug 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 237589 MA Primary

Addresses

Primary practice location

750 Washinton Street
Boston, MA 02111

Mailing address

2 Burlington Woods Dr Ste 100
Burlington, MA 01803-4551
Phone (617) 817-0613

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000246 MA Practitioner - Psychiatry 2264680354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hri Hospital, IncGroup PAC ID 9032192851, 2 clinicians
Arbour IncGroup PAC ID 6800975574, 19 clinicians

Practice addresses (Care Compare)

227 Babcock St
Brookline, MA 02446-6773
Phone (617) 731-3200

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

49 Robinwood Ave
Boston, MA 02130-2156
Phone (617) 522-4400

60 Granite St
Lynn, MA 01904-2915
Phone (978) 816-2728

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237589MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Psychiatry Outpatient Division PLLC Psychiatry Current Accepting new patients

Locations

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

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 5

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1952558736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BURLINGTON WOODS DR STE 100",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034551",
            "telephone_number": "617-817-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JACOB",
        "middle_name": "S UNIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "237589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.