DR. NISHA MATHEWS D.O.
NPI 1891068979
Pediatrics - Pediatric Nephrology in Gainesville, FL
About Dr. Nisha Mathews D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NISHA MATHEWS D.O. (NPI 1891068979) is an individual pediatric nephrology provider in Gainesville, Florida, licensed in Florida (OS17039) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Nova Southeastern College Of Osteo Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Nisha Mathews D.o. 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 Reassignments
4Medicare enrollment records show Nisha Mathews reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32207
- Reassigned Medicare billing, Florida enrollment
- 703 clinicians in this Medicare group
Reading, PA 19608
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 510 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.
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.
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
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 Nisha Mathews's NPI number?
The NPI number for Nisha Mathews is 1891068979. It was assigned to this individual provider in the NPPES registry on February 20, 2012.
Where is Nisha Mathews located?
Nisha Mathews practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0111.
What is Nisha Mathews's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Nisha Mathews enrolled in Medicare?
Yes. Nisha Mathews 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 Nisha Mathews's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Mathews reassigns Medicare benefits to 4 organizations: The Nemours Foundation (Jacksonville, FL), Stc Pediatrics LLC (Reading, PA), Barnabas Health Medical Group PC (Elizabeth, NJ) and Children's Physician Services Of South Texas (Corpus Christi, TX). 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 Nisha Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nisha Mathews accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nisha Mathews 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.
When was this NPI record last updated?
The NPPES record for Nisha Mathews was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.