Hema Mathur, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036081366 Issued in IL

Practice address

4901 W. 79TH St.
Suite 5 Midway Internal Medicine SC
Burbank, IL 60459

Phone

(708) 952-4403

Fax

(708) 952-4404

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Little Company of Mary Affiliated Services Inc

  • Urgent Care Clinic/Center
  • Oak Lawn, IL
  • NPI 1033162086

  IL

  Medicare reassignment NPD
• Little Company of Mary Affiliated Services Inc

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1588617260

  Internal Medicine

  NPD
• Ottawa Regional Medical Center Inc.

  • Internal Medicine Physician
  • Ottawa, IL
  • NPI 1063749596

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1972602845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 W. 79TH ST.",
            "address_2": "SUITE 5 MIDWAY INTERNAL MEDICINE SC",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "60459",
            "telephone_number": "708-952-4403",
            "fax_number": "708-952-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W. 79TH ST.",
            "address_2": "SUITE 5 MIDWAY INTERNAL MEDICINE SC",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "60459",
            "telephone_number": "708-952-4403",
            "fax_number": "708-952-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "HEMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036081366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081366",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "204690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystyna Majkut
• Samantha Marie Manso, NP
• Andrew L. Marchese Jr., D.D.S.
• Christina Marchione, O.D.
• Joseline Marquez, BCBA
• Virendra Mathur, MD
• Megan Matura
• Ibeawuchi Mbanu, MD
• Katija McCarthy, N.P.
• Martha M McInerney, LCSW

• All providers in Burbank, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.