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DR. MATHEW T IDICHANDY MD
NPI 1295587400
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since April 02, 2024PECOS Enrolled
3000 ARLINGTON AVE # MS 1179, TOLEDO, OH 43614(419) 383-5502 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mathew T Idichandy Md NPPES

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

DR. MATHEW T IDICHANDY MD (NPI 1295587400) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295587400
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MATHEW T IDICHANDYCredential: MD
Location Address3000 ARLINGTON AVE # MS 1179Toledo, OH 43614-2598
Mailing Address3000 Arlington Ave # Ms 1179Toledo, OH 43614-2598 · (419) 383-5502
Phone(419) 383-5502
Sole ProprietorYes
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1295587400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3000 ARLINGTON AVE # MS 1179, Toledo, OH 43614
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mathew T Idichandy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mathew Idichandy's NPI number?

The NPI number for Mathew Idichandy is 1295587400. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Mathew Idichandy located?

Mathew Idichandy practices at 3000 Arlington Ave # Ms 1179, Toledo, OH 43614. The listed phone number is (419) 383-5502.

What is Mathew Idichandy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mathew Idichandy enrolled in Medicare?

Yes. Mathew Idichandy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mathew Idichandy was last updated on April 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.