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ALEX MATHAI M.D.
NPI 1417213166
Emergency Medicine in Jacksonville, FL

Active since April 06, 2012PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(904) 308-7300 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Alex Mathai M.d. NPPES

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

ALEX MATHAI M.D. (NPI 1417213166) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME122229) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of University Of Florida College Of Medicine (2012).

NPPES Registry Identity

NPI1417213166
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameALEX MATHAICredential: M.D.
Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325
Phone(904) 308-7300
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2012
Enumeration DateApril 6, 2012
Last NPPES UpdateOctober 30, 2015
✔ NPI 1417213166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME122229
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 SHIRCLIFF WAY, Jacksonville, FL 32204
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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

Alex Mathai M.d. 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 ID5597985093
PECOS Enrollment IDI20151029002722
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alex Mathai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Specialists Of Jacksonville
Same address
Emergency Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 78 clinicians in this Medicare group
NPI 1295738367 (904) 308-7300
Cep America LLC
1.3 mi
Emergency Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 367 clinicians in this Medicare group
NPI 1912694902 (904) 308-7300
Paragon Emergency Services LLC
156 mi
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
NPI 1912101650 (863) 293-1121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
85 services85 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
74 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
46 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

COMPREHENSIVE CARE PARTNERS LLC
Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (352) 250-2650
DR. SARAH ANNE PISCITELLO CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 477-5855
MRS. JENNIFER ANNE ALLEN NP
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MAX T BILLINGSLEY MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Duval County (904) 346-5426
TABITHA JAY GOLDEN CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (954) 939-5216
PAUL D LUCEY MD
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
WILBUR L AUGENSTEIN MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
CHANEL WOOD MD
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300

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 Alex Mathai's NPI number?

The NPI number for Alex Mathai is 1417213166. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is Alex Mathai located?

Alex Mathai practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is Alex Mathai's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Alex Mathai enrolled in Medicare?

Yes. Alex Mathai 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 organizations bill Medicare for Alex Mathai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Mathai reassigns Medicare benefits to 3 organizations: Emergency Medical Specialists Of Jacksonville (Jacksonville, FL), Cep America LLC (Jacksonville, FL) and Paragon Emergency Services LLC (Winter Haven, FL). Each 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 Alex Mathai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alex Mathai affiliated with any hospitals?

According to CMS data, Alex Mathai is affiliated with Ascension St Vincent's Riverside, Ascension St Vincent's Southside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Alex Mathai was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.