ALEATHA D REITSMA MATHIAS MD
NPI 1194786475
Internal Medicine in Ypsilanti, MI

NPI Status: Active since March 28, 2006

Contact Information

5301 E HURON RIVER DR
YPSILANTI, MI
ZIP 48197
Phone: (877) 336-6307
Fax: (734) 712-3855

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  • Individual
  • Female
  • Years of Experience 27
  • Internal Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ALEATHA REITSMA MATHIAS

Aleatha Reitsma Mathias is an internist established in Ypsilanti, Michigan and her medical specialization is Internal Medicine with more than 27 years of experience. She graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1998. The healthcare provider is registered in the NPI registry with number 1194786475 assigned on March 2006. The practitioner's primary taxonomy code is 207R00000X with license number 4301072313 (MI). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1194786475
Provider Name
ALEATHA D REITSMA MATHIAS MD
Gender
Female
Entity Type
Individual
Location Address
5301 E HURON RIVER DR YPSILANTI, MI 48197
Location Phone
(877) 336-6307
Location Fax
(734) 712-3855
Mailing Address
24 FRANK LLOYD WRIGHT DR PO BOX 0446 - LOBBY J ANN ARBOR, MI 48105
Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year
1998
Is Sole Proprietor?
No
Enumeration Date
03-28-2006
Last Update Date
05-25-2016
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An internist like Aleatha Reitsma Mathias is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Aleatha Reitsma Mathias is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.94 for a new patient copayment and $26.81 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301072313
License State
MI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Cigna Healthcare

    • Connect Bronze 0 Indiv Med Deductible - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 2500 Indiv Med Deductible - EPO
    • Connect Gold 500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 3000 Indiv Med Deductible - EPO
    • Connect Silver 4000 Indiv Med Deductible - EPO
    • Connect Silver 5000 Indiv Med Deductible - EPO
    • Connect Silver 9100 Indiv Med Deductible - EPO
    • Connect Silver CMS Standard - EPO
  • Medicare

  • Medicaid

  • Blue Cross Blue Shield

  • Medica Health Insurance


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H53025OTHER (01)IACOVENTRY HEALTH CARE
07878OTHER (01)IABCBS - ER LOCATION
426038405OTHER (01)IASELECTFIRST
0M32310MEDICARE PIN (08)MI 
I16986MEDICARE PIN (08)IA 
P00313100MEDICARE PIN (08)IA 
249977OTHER (01)IAMIDLANDS CHOICE
49409OTHER (01)IASIOUX VALLEY HEALTH PLAN
9236800OTHER (01)IADAKOTACARE
0484964MEDICAID (05)IA 
04-08715OTHER (01)IAMEDICA
14857OTHER (01)IAAVERA HEALTH PLAN
1484964MEDICAID (05)IA 
720911046506OTHER (01)IAPREFERRED ONE
5682027OTHER (01)IAFIRST HEALTH
H53025MEDICARE UPIN (02)IA 

PECOS Enrollment and Medicare Participation Status

Aleatha Reitsma Mathias is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638150824

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20211201001370

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48197 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $139.76
  • Minimum New Patient Price $60.64
  • Maximum New Patient Price $184.65
  • Average New Patient Copayment $34.94
  • Minimum New Patient Copayment $15.16
  • Maximum New Patient Copayment $46.16

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $107.24
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $150
  • Average Established Patient Copayment $26.81
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $37.5

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Aleatha Reitsma Mathias is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NAPLES COMMUNITY HOSPITAL350 7TH ST N
NAPLES, FL 34102
(239) 624-4002Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194786475
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118414812414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 4 + 8 + 1 + 2 + 4 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1194786475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497750590MRS. KATHRYN L EISENBERG M.S.N.,A.P.R.N-B.C.
Individual
Licensed Practical Nurse5301 E HURON RIVER DR STE C139
YPSILANTI, MI 48197
(734) 712-1000
1710982533DR. CHRISTOPHER M REYNOLDS MD
Individual
Internal Medicine (Hematology & Oncology)5301 E HURON RIVER DR SUITE C139
YPSILANTI, MI 48197
(734) 712-1000
1174528921DR. ANDREW C EISENBERG M.D.
Individual
Internal Medicine (Hematology & Oncology)5301 E HURON RIVER DR STE C139
YPSILANTI, MI 48197
(734) 712-1000
1780680637SELECT SPECIALTY HOSPITAL - ANN ARBOR INC
Organization
Long Term Care Hospital5301 E HURON RIVER DR 7TH FLOOR
YPSILANTI, MI 48197
(734) 712-0111
1932106481 ANGELO SO ANTARAN PA
Individual
Physician Assistant (Surgical)5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-5609
1811982689 JEROME D WINEGARDEN M.D.
Individual
Internal Medicine (Hematology & Oncology)5301 E HURON RIVER DR STE C139
YPSILANTI, MI 48197
(734) 712-1000
1952389637 DOMINIC A. PERROTTA MD
Individual
Emergency Medicine5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3001
1710965165 CAROL KOLESAR NP
Individual
Nurse Practitioner5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-6573
1497735351DR. ERROL I SOSKOLNE M.D.
Individual
Pediatrics5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3325
1790758654DR. NIKLAS JOAKIM MACKLER M.D.
Individual
Internal Medicine (Hematology & Oncology)5301 E HURON RIVER DR CANCER CARE BUILDING
YPSILANTI, MI 48197
(734) 712-1000
1598733156 PAUL VALENSTEIN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)5301 E HURON RIVER DR PATHOLOGY - ST JOSEPH MERCY HOSPITAL
YPSILANTI, MI 48197
(734) 712-2832
1205805611 MICHAEL FLEMING
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 714-4542
1427027986MRS. JOANNE MARY CAFARELLI CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1093774291DR. BRADLEY JUDGE M.D.
Individual
Pediatrics5301 E HURON RIVER DR DEPARTMENT OF PEDIATRICS
YPSILANTI, MI 48197
(734) 712-3325
1669431730MRS. B. MELANIE MCNICHOLAS CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1285693671MR. MARK ALLEN SCARBERRY C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1104886431MRS. LINDA MARIE MYERS CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1346200482 CAROL A JESSOP CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1891755609MR. DAVID WILLIAM GELBACH CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(743) 712-3840
1861452732MS. CAROL JEAN REBBECK C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194786475, enumerated in the NPI registry as an "individual" on March 28, 2006

The provider is located at 5301 E Huron River Dr Ypsilanti, Mi 48197 and the phone number is (877) 336-6307

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 27 years of experience. She graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1998.

The provider might be accepting Accepts: Cigna Healthcare, Medicare, Medicaid, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $139.76 with an average copayment of $34.94 for new patient appointments. Established patients should expect a typical charge of $107.24 and an average copayment of 26.81. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): NAPLES COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.