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JAMES MATHEW MD
NPI 1669009981
Internal Medicine in Philadelphia, PA

Active since March 25, 2020PECOS Enrolled
1575 N 52ND ST STE S-3, PHILADELPHIA, PA 19131(267) 930-4858(267) 299-6270 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2026, Mar 25, 2020 (2 updates tracked since 2020).

About James Mathew Md NPPES

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

JAMES MATHEW MD (NPI 1669009981) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481342) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1669009981
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES MATHEWCredential: MD
Location Address1575 N 52ND ST STE S-3Philadelphia, PA 19131-4736
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117 · Fax (305) 393-5989
Phone(267) 930-4858
Fax(267) 299-6270
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1669009981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD481342
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1575 N 52ND ST STE S-3, Philadelphia, PA 19131
Open in Google Maps ↗

Secondary Practice Location 1

Location 11321 Wells StPhiladelphia, PA 19111-4921 · Phone (215) 354-6061

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Mathew 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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dedicated Pennsylvania Holding, LLC
Same address
Internal Medicine
1575 N 52ND ST STE S-3
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 58 clinicians in this Medicare group
NPI 1942703137 (305) 628-6117
Lancaster General Hospital
58 mi
Hospitalist
555 N DUKE ST
Lancaster, PA 17602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 151 clinicians in this Medicare group
NPI 1730323759 (717) 544-8144

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 7

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

DR. DEBORAH NILES MD FAAFP
Family Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Philadelphia County (267) 930-4858
DR. GIOVANNI DOMENICO AVELLUTO D.O.
Family Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Philadelphia County (267) 930-4858
DR. OWEN MORRIS DPM
Podiatrist (Primary Podiatric Medicine)
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Philadelphia County (267) 930-4858
DR. DAVID BARR M.D.
Family Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Philadelphia County (267) 930-4858
NAVIN VIJ M.D.
Internal Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Philadelphia County (267) 930-4858
DR. SUMIT KUMAR M.D.
Internal Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Philadelphia County (264) 930-4858
DEDICATED PENNSYLVANIA HOLDING, LLC
Internal Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Philadelphia County (305) 628-6117

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 James Mathew's NPI number?

The NPI number for James Mathew is 1669009981. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is James Mathew located?

James Mathew practices at 1575 N 52nd St Ste S-3, Philadelphia, PA 19131. The listed phone number is (267) 930-4858.

What is James Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Mathew enrolled in Medicare?

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

Which organizations bill Medicare for James Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mathew reassigns Medicare benefits to 2 organizations: Dedicated Pennsylvania Holding, LLC (Philadelphia, PA) and Lancaster General Hospital (Lancaster, PA). 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 James Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Mathew was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.