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ANDOLA CHAMBERLAIN MATHIS M.D.
NPI 1417994997
Obstetrics & Gynecology in Grand Rapids, MI

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
21 MICHIGAN ST NE, SUITE 660, GRAND RAPIDS, MI 49503(616) 451-2993(616) 451-4393 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Andola Chamberlain Mathis M.d. NPPES

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

ANDOLA CHAMBERLAIN MATHIS M.D. (NPI 1417994997) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301074425) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Michigan State University College Of Human Medicine (1999).

NPPES Registry Identity

NPI1417994997
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDOLA CHAMBERLAIN MATHISCredential: M.D.
Location Address21 MICHIGAN ST NE, SUITE 660Grand Rapids, MI 49503-2528
Mailing Address21 Michigan St Ne, Suite 660Grand Rapids, MI 49503-2528 · (616) 451-2993 · Fax (616) 451-4393
Phone(616) 451-2993
Fax(616) 451-4393
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1999
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 10, 2007
✔ NPI 1417994997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301074425
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
21 MICHIGAN ST NE, Grand Rapids, MI 49503
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Other Identifiers 4

Medicaid4503527MI
Other1604113602MI · Bcbsm
Medicare UPINH84787
Medicare PINP38640001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Andola Chamberlain Mathis 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 ID6305852369
PECOS Enrollment IDI20060228000495
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.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 3

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

DR. JENNIFER ANNE HULTMAN MD
Pediatrics
21 MICHIGAN ST NE, SUITE 525
GRAND RAPIDS, MI 49503
Kent County (616) 391-3776
DR. HELGA VALDMANIS TORIELLO PHD
Medical Genetics, Ph.D. Medical Genetics
21 MICHIGAN ST NE, STE 465
GRAND RAPIDS, MI 49503
Kent County (616) 391-2701
ANDOLA C MATHIS MD PC
Obstetrics & Gynecology
21 MICHIGAN ST NE, SUITE 660
GRAND RAPIDS, MI 49503
Kent County (616) 451-2993

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 Andola Mathis's NPI number?

The NPI number for Andola Mathis is 1417994997. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Andola Mathis located?

Andola Mathis practices at 21 Michigan St NE Suite 660, Grand Rapids, MI 49503. The listed phone number is (616) 451-2993.

What is Andola Mathis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andola Mathis enrolled in Medicare?

Yes. Andola Mathis 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 Andola Mathis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Andola Mathis 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 Andola Mathis affiliated with any hospitals?

According to CMS data, Andola Mathis is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Andola Mathis was last updated on August 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.