Sheena Mathew, MD
Individual provider Active NPI Pediatrics Physician · Bismarck, ND
NPI 1992583678 · NPPES record last updated Jun 7, 2026
Key facts
- NPI
- 1992583678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 24286 (ND)
- Practice address
- 900 E Broadway Ave
Bismarck, ND 58501-4520 - Phone
- (914) 463-1690
- NPI assigned
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
900 E Broadway Ave
Bismarck, ND 58501-4520
921 W Interstate Ave
Bismarck, ND 58503-0955
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622002437 | ND | Practitioner - Pediatric Medicine | 4688147689 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24286 | ND | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24286 | ND | Yes |
Addresses
Primary practice location
900 E Broadway Ave
Bismarck, ND 58501-4520
Mailing address
393
Bellevue Ave
Yonkers, NY 10703
Phone (914) 463-1690
Other providers in Bismarck, ND
- Kate Massey
- Jasmine Massingill
- Noe B Mateo
- Jacqueline Materi
- Boban Mathew
- Maryse Mathieu
- Brooke Lynne Mathis
- David M Mathison
- Julia Mattern
- Kim Mattern
All providers in Bismarck, ND · Pediatrics Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.