DR. MITHIN MATHEW DO
NPI 1265015267
Internal Medicine in Kenosha, WI
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mithin Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WIPhysician 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.
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.
KENOSHA, WI 53143
KENOSHA, WI 53143
KENOSHA, WI 53143
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.
Which organization bills Medicare for Mithin Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mithin Mathew reassigns Medicare benefits to Froedtert South, Inc. (Kenosha, WI). The 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 Mithin Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mithin Mathew accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Mithin 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.
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.
# Dr. Mithin Mathew, DO · NPI 1265015267
Internal Medicine physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since April 28, 2021.
## Identity
- **NPI:** 1265015267 (Entity type: Individual)
- **Enumerated:** April 28, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 81607-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6308 8TH AVE, Kenosha, WI 53143-5031
- **Phone:** (224) 551-8030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Froedtert South, Inc. (NPI 1558305284, Kenosha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Arizona College Of Osteopathic Medicine Mid Western University, class of 2021
## Record status
- **NPPES last updated:** August 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265015267) · Data from the CMS NPPES public registry.