Rano Thomas Mathew, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9600112 Issued in NC

Practice address

1907 S 17TH St
Suite 1
Wilmington, NC 28401-6626

Phone

(910) 343-8424

Fax

(910) 343-6989

NPI assigned

Sep 28, 2006

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Psychiatry

Education

University of Massachusetts Medical School, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trinity Wellness Center of Wilmington IncGroup PAC ID 6002843752, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

19.32 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

64.4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Wellness Center of Wilmington Inc

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1841382173
  Medicare reassignment Care Compare group NPD
• Brynn Marr Hospital Inc

  dba Brynn Marr Hospital

  • Psychiatry Physician
  • Jacksonville, NC
  • NPI 1568225845
  Medicare reassignment NPD
• Brynn Marr Hospital Inc

  dba Brynn Marr Hospital

  • Psychiatric Hospital
  • Jacksonville, NC
  • NPI 1992701486
  NPD (past)
• SBH-Wilmington LLC

  dba Carolina Dunes Behavioral Health

  • Psychiatric Hospital
  • Leland, NC
  • NPI 1639357429
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1972694297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S 17TH ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016626",
            "telephone_number": "910-343-8424",
            "fax_number": "910-343-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S 17TH ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016626",
            "telephone_number": "910-343-8424",
            "fax_number": "910-343-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Mercantile Dr",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514053",
            "country_code": "US",
            "telephone_number": "910-371-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "RANO",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9600112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136WY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Maliha Masoud, M.D.
• Marissa Massey, RBT
• Taylor Mast, DMD
• Paul Anthony Mastrovito, LCSW
• Thomas Elwin Mates, PHD
• Ted Mathew, M.D.
• Victoria Jane Mathew, LCMHCA
• Shannon Boney Mathis, NP-C
• Kensuke Matsumoto, DMD, MS
• Allyson Renee Matt, PH.D.

• Psychiatry Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.