MIDHUN MATHEW MD
NPI 1740767672
Hospitalist in Marlton, NJ
About Midhun Mathew Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDHUN MATHEW MD (NPI 1740767672) is an individual hospitalist provider in Marlton, New Jersey, licensed in New Jersey (25MA11114700) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Accepted Insurance
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
Midhun Mathew Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Midhun Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cape Regional Medical Center Inc
Acute Care Hospitals · Cape May Court House, NJWest Jersey Hospital
Acute Care Hospitals · Voorhees, NJVirtua Our Lady Of Lourdes Hospital
Acute Care Hospitals · Camden, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Midhun Mathew's NPI number?
The NPI number for Midhun Mathew is 1740767672. It was assigned to this individual provider in the NPPES registry on July 24, 2018.
Where is Midhun Mathew located?
Midhun Mathew practices at 90 Brick Rd Fl 3, Marlton, NJ 08053. The listed phone number is (856) 355-6000.
What is Midhun Mathew's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Midhun Mathew enrolled in Medicare?
Yes. Midhun Mathew 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 organization bills Medicare for Midhun Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Midhun Mathew reassigns Medicare benefits to Virtua Medical Group, PA (Marlton, NJ). The 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 Midhun Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Midhun Mathew accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Midhun Mathew 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 Midhun Mathew affiliated with any hospitals?
According to CMS data, Midhun Mathew is affiliated with Cape Regional Medical Center Inc, West Jersey Hospital and Virtua Our Lady Of Lourdes Hospital.
When was this NPI record last updated?
The NPPES record for Midhun Mathew was last updated on January 25, 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.
# Midhun Mathew, MD · NPI 1740767672
Hospitalist physician in Marlton, New Jersey. Individual provider, active in the CMS NPPES registry since July 24, 2018.
## Identity
- **NPI:** 1740767672 (Entity type: Individual)
- **Enumerated:** July 24, 2018
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 25MA11114700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 90 BRICK RD FL 3, Marlton, NJ 08053-2177
- **Phone:** (856) 355-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Virtua Medical Group, PA (NPI 1649226515, Marlton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740767672) · Data from the CMS NPPES public registry.