DR. MITHIN MATHEW DO
NPI 1265015267
Internal Medicine in Kenosha, WI

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
6308 8TH AVE, KENOSHA, WI 53143(224) 551-8030 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2024, Apr 28, 2021 (2 updates tracked since 2021).

About Dr. Mithin Mathew Do NPPES

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

DR. MITHIN MATHEW DO (NPI 1265015267) is an individual internal medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (81607-21) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1265015267
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MITHIN MATHEWCredential: DO
Location Address6308 8TH AVEKenosha, WI 53143-5031
Mailing Address4001 N 3rd St Ste 290Phoenix, AZ 85012-2071
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2021
Enumeration DateApril 28, 2021
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1265015267 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 WI · 81607-21
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.
6308 8TH AVE, Kenosha, WI 53143

Secondary Practice Location 1

Location 1350 W Thomas RdPhoenix, AZ 85013-4409 · Phone (602) 406-8798

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

Dr. Mithin Mathew Do 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 ID1557894219
PECOS Enrollment IDI20241101002954
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Specialist/Technologist (Athletic Trainer)
6308 8TH AVE
KENOSHA, WI 53143
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6308 8TH AVE, STE 3070
KENOSHA, WI 53143
Internal Medicine (Hematology & Oncology)
6308 8TH AVE, STE 2000
KENOSHA, WI 53143
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
General Acute Care Hospital
6308 8TH AVE
KENOSHA, WI 53143
Specialist
6308 8TH AVE, SUITE 301
KENOSHA, WI 53143
Pathology (Anatomic Pathology & Clinical Pathology)
6308 8TH AVE
KENOSHA, WI 53143
Internal Medicine
6308 8TH AVE, SUITE 2000
KENOSHA, WI 53143

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 Mithin Mathew's NPI number?

The NPI number for Mithin Mathew is 1265015267. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Mithin Mathew located?

Mithin Mathew practices at 6308 8th Ave, Kenosha, WI 53143. The listed phone number is (224) 551-8030.

What is Mithin Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mithin Mathew enrolled in Medicare?

Yes. Mithin 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.

Is Mithin Mathew affiliated with any hospitals?

According to CMS data, Mithin Mathew is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Mithin Mathew was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.