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MRS. RENI ROY MATHEW NP
NPI 1588014476
Nurse Practitioner - Family in Los Angeles, CA

Active since June 21, 2016PECOS Enrolled
4059 E OLYMPIC BLVD, LOS ANGELES, CA 90023(323) 881-2615(323) 881-2615 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Reni Roy Mathew Np NPPES

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

MRS. RENI ROY MATHEW NP (NPI 1588014476) is an individual family provider in Los Angeles, California, licensed in California (95004073) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588014476
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RENI ROY MATHEWCredential: NP
Location Address4059 E OLYMPIC BLVDLos Angeles, CA 90023-3330
Mailing Address9810 Lewis AveFountain Valley, CA 92708-5818 · (714) 679-5830
Phone(323) 881-2615
Fax(323) 881-2615
Sole ProprietorNo
Enumeration DateJune 21, 2016
✔ NPI 1588014476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95004073
4059 E OLYMPIC BLVD, Los Angeles, CA 90023
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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)

Mrs. Reni Roy Mathew Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90023 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

RITA BANEVICIENE
Radiologic Technologist (Sonography)
4059 E OLYMPIC BLVD
LOS ANGELES, CA 90023
Los Angeles County (323) 881-9444
MR. DAVID B BAGTAS JR. NP
Nurse Practitioner
4059 E OLYMPIC BLVD
LOS ANGELES, CA 90023
Los Angeles County (323) 881-2675

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 Reni Mathew's NPI number?

The NPI number for Reni Mathew is 1588014476. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Reni Mathew located?

Reni Mathew practices at 4059 E Olympic Blvd, Los Angeles, CA 90023. The listed phone number is (323) 881-2615.

What is Reni Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Reni Mathew enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Reni Mathew was last updated on June 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.