ALYSSA MARY MATHEW D.O
NPI 1144640269
Internal Medicine in Nottingham, MD

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
4920 CAMPBELL BLVD, NOTTINGHAM, MD 21236(410) 933-7600 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alyssa Mary Mathew D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA MARY MATHEW D.O (NPI 1144640269) is an individual internal medicine provider in Nottingham, Maryland, licensed in Maryland (H83040) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Lake Erie Col Of Osteopathic Medicine, Bradenton (2014).

NPPES Registry Identity

NPI1144640269
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALYSSA MARY MATHEWCredential: D.O
Location Address4920 CAMPBELL BLVDNottingham, MD 21236-5916
Mailing Address632 Hickory Overlook DrBel Air, MD 21014-1864 · (732) 670-4590
Sole ProprietorYes
Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2014
Enumeration DateApril 16, 2014
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedJune 23, 2021
NPI 1144640269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · H83040
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4920 CAMPBELL BLVD, Nottingham, MD 21236

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alyssa Mary Mathew D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183939200
PECOS Enrollment IDI20171019000453
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4920 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pediatrics
4920 CAMPBELL BLVD, KAISER PERMANENTE WHITE MARSH MEDICAL CENTER
NOTTINGHAM, MD 21236
Pediatrics
4920 CAMPBELL BLVD
BALTIMORE, MD 21236
Pharmacist
4920 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pharmacist
4920 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Social Worker (Clinical)
4920 CAMPBELL BLVD, KAISER PERMANENTE WHITE MARSH MEDICAL CENTER
NOTTINGHAM, MD 21236
Social Worker (Clinical)
4920 CAMPBELL BLVD, KAISER PERMANENTE
BALTIMORE, MD 21236
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4920 CAMPBELL BLVD, KAISER PERMANENTE WHITE MARSH MEDICAL CENTER
NOTTINGHAM, MD 21236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144640269, enumerated as an "individual" on April 16, 2014.

The provider is located at 4920 CAMPBELL BLVD NOTTINGHAM, MD 21236 and the phone number is (410) 933-7600.

Internal Medicine with taxonomy code 207R00000X.