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BINITHA ANN MATHEW FNP
NPI 1194996835
Nurse Practitioner - Family in Naperville, IL

Active since March 21, 2008PECOS EnrolledAccepts Medicare Assignment
1525 OXFORD LN, NAPERVILLE, IL 60565(872) 231-3162 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Dec 20, 2022, May 1, 2019 and 1 more (4 updates tracked since 2019).

About Binitha Ann Mathew Fnp NPPES

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

BINITHA ANN MATHEW FNP (NPI 1194996835) is an individual family provider in Naperville, Illinois, licensed in Illinois (209.018646) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194996835
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBINITHA ANN MATHEWCredential: FNP
Location Address1525 OXFORD LNNaperville, IL 60565-1511
Mailing AddressPo Box 74008272Chicago, IL 60674-8272 · (702) 899-0595 · Fax (702) 977-1496
Phone(872) 231-3162
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2008
Last NPPES UpdateOctober 10, 20254 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1194996835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.018646
1525 OXFORD LN, Naperville, IL 60565
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12250 Hickory Rd, Ste 240Plymouth Meeting, PA 19462-1047 · Phone (610) 834-1122
Location 21990 Larkin AveElgin, IL 60123-5827 · Phone (847) 289-5727

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Binitha Ann Mathew Fnp 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 ID2163764382
PECOS Enrollment IDI20190508001248
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,128 services280 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,085 services237 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
249 services248 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
48 services39 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60565 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gel or gel-like pressure pad for mattress, standard mattress length and width E0185
DME-Other DME · category DE000N
1 supplier13 claims13 services$142.60 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier78 claims78 services$45.19 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress E0294
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$55.54 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier13 claims13 services$11.40 avg. paid by Medicare
Manual wheelchair accessory, wheel lock brake extension (handle), each E0961
DME-Wheelchairs · category DD021N
1 supplier17 claims34 services$16.69 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier17 claims34 services$22.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MRS. STARR DOWDY
Technician (Personal Care Attendant)
1525 OXFORD LN
NAPERVILLE, IL 60565
Dupage County (630) 983-0300
FIRST DOCS PC
Internal Medicine
1525 OXFORD LN
NAPERVILLE, IL 60565
Dupage County (702) 762-2485
DR. KEVIN TODD HARRIS M.D.
Physical Medicine & Rehabilitation
1525 OXFORD LN
NAPERVILLE, IL 60565
Dupage County (630) 983-0300
ALDEN ESTATES OF NAPERVILLE, INC.
Durable Medical Equipment & Medical Supplies
1525 OXFORD LN
NAPERVILLE, IL 60565
Dupage County (630) 983-0300

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 Binitha Mathew's NPI number?

The NPI number for Binitha Mathew is 1194996835. It was assigned to this individual provider in the NPPES registry on March 21, 2008.

Where is Binitha Mathew located?

Binitha Mathew practices at 1525 Oxford Ln, Naperville, IL 60565. The listed phone number is (872) 231-3162.

What is Binitha Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Binitha Mathew enrolled in Medicare?

Yes. Binitha Mathew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Binitha Mathew accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Binitha Mathew 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 Binitha Mathew was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.