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KAREN TAYLOR MATHEWS
NPI 1194605303
Pediatrics - Pediatric Cardiology in St Petersburg, FL

Active since September 08, 2025PECOS Enrolled
2460 43RD ST N, ST PETERSBURG, FL 33713(703) 595-5615 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karen Taylor Mathews NPPES

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

KAREN TAYLOR MATHEWS (NPI 1194605303) is an individual pediatric cardiology provider in St Petersburg, Florida, licensed in North Carolina (202617923) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194605303
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameKAREN TAYLOR MATHEWS
Location Address2460 43RD ST NSt Petersburg, FL 33713-3200
Mailing Address2460 43rd St NSt Petersburg, FL 33713-3200 · (703) 595-5615
Phone(703) 595-5615
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2025
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1194605303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NC · 202617923
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
2460 43RD ST N, St Petersburg, FL 33713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Taylor Mathews is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597232421
PECOS Enrollment IDI20260428001802
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Mathews reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc.
545 mi
Family Medicine
131 MEDICAL PARK RD STE 302
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1760288633 (704) 660-4750
Duke University Health System, Inc.
603 mi
Internal Medicine
3400 WAKE FOREST RD
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1558392977 (North Carolina)
  • 1,482 clinicians in this Medicare group
NPI 1477584894 (919) 954-3271

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Mathews's NPI number?

The NPI number for Karen Mathews is 1194605303. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Karen Mathews located?

Karen Mathews practices at 2460 43rd St N, St Petersburg, FL 33713. The listed phone number is (703) 595-5615.

What is Karen Mathews's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Karen Mathews enrolled in Medicare?

Yes. Karen Mathews is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Mathews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Mathews reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc. (Mooresville, NC) and Duke University Health System, Inc. (Raleigh, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Mathews accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Karen Mathews as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Mathews was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.