MRS. KELLEY M MATHIA MD NPI 1891783924

Obstetrics & Gynecology in Spokane, WA

Individual Female Obstetrics & Gynecology PECOS Enrolled Accepts Medicare Years Experience 23

About KELLEY MATHIA

Kelley Mathia is a provider established in Spokane, Washington and her medical specialization is obstetrics & gynecology with more than 23 years of experience. The NPI number of Kelley Mathia is 1891783924 and was assigned on October 2005. The practitioner's primary taxonomy code is 207V00000X with license number MD00034666 (WA). The provider is registered as an individual and her NPI record was last updated 8 years ago. Kelley Mathia is enrolled in PECOS and registered with Medicare accepting claims assignment.

NPI

1891783924

Provider NameMRS. KELLEY M MATHIA MD
Provider Location Address105 W 8TH AVE SUITE 6060 SPOKANE, WA 99204
Provider Mailing Address105 W 8TH AVE SUITE 6060 SPOKANE, WA 99204
GenderFemale
NPI Entity TypeIndividual
Medical School NameSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1997
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-12-2005
Last Update Date11-21-2011

Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.MD00034666
License StateWA
Taxonomy DescriptionAn 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.

Business Address

MRS. KELLEY M MATHIA MD
105 W 8TH AVE
SUITE 6060
SPOKANE, WA
ZIP 99204
Phone: (509) 838-4211
Fax: (509) 838-6432

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Mailing Address

MRS. KELLEY M MATHIA MD
105 W 8TH AVE
SUITE 6060
SPOKANE, WA
ZIP 99204
Phone: (509) 838-4211
Fax: (509) 838-6432

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3971575978
PECOS Enrollment IDI20040811000009
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 45Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • 44Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
PROVIDENCE SACRED HEART MEDICAL CENTER500054

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8208258MEDICAID (05)WA
G23112MEDICARE UPIN (02)
805197201MEDICAID (05)ID
AB00429MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023005907 MICHAEL F. KESTELL M.D.
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6010
SPOKANE, WA 99204
(509) 838-5950
1154314557ADVANCED SURGICAL ORTHOPEDICS, PS
Organization
Orthopaedic Surgery105 W 8TH AVE SUITE 454E
SPOKANE, WA 99204
(509) 456-8550
1154319283MR. MARK T SCHEMMEL MD
Individual
Obstetrics & Gynecology105 W 8TH AVE SUITE 6060
SPOKANE, WA 99204
(509) 838-4211
1245223270DR. BRIAN ROSS CAMPBELL PH.D.
Individual
Clinical Neuropsychologist105 W 8TH AVE SUITE 332
SPOKANE, WA 99204
(509) 838-7400
1336147560MR. JAMES THOMAS DOYLE MD
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6050
SPOKANE, WA 99204
(509) 747-0143
1447252994 DANIEL F CAMMACK MD
Individual
Surgery105 W 8TH AVE SUITE 7070
SPOKANE, WA 99204
(509) 838-2531
1487640058ROCKWOOD CLINIC PS
Organization
Clinic/Center (Ambulatory Surgical)105 W 8TH AVE SUITE 7010
SPOKANE, WA 99204
(509) 838-2531
1548253511MR. JOSEPH DUNCAN FITTERER MD
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6050
SPOKANE, WA 99204
(509) 747-0143
1548253867 HOLLY BETH PENA ARNP
Individual
Nurse Practitioner105 W 8TH AVE SUITE 6050
SPOKANE, WA 99204
(509) 747-0143
1548257439 KARL PETER HOUGLUM M.D.
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6010
SPOKANE, WA 99204
(509) 838-5950
1619972320 JASON M. REUTER MD
Individual
Obstetrics & Gynecology105 W 8TH AVE SUITE 6060
SPOKANE, WA 99204
(509) 838-4211
1750380812INLAND EMPIRE GASTROENTEROLOGY PS
Organization
Internal Medicine (Gastroenterology)105 W 8TH AVE STE 6050
SPOKANE, WA 99204
(509) 747-0143
1811985930MRS. MARYNELL H MEYER MD
Individual
Obstetrics & Gynecology105 W 8TH AVE SUITE 6060
SPOKANE, WA 99204
(509) 838-4211
1831183318 ERIKA R BAARD MSW
Individual
Counselor105 W 8TH AVE SUITE 332C
SPOKANE, WA 99204
(509) 838-7400
1841284320MR. TODD G SWANSON MS
Individual
Counselor (Mental Health)105 W 8TH AVE SUITE 332C
SPOKANE, WA 99204
(509) 838-7400
1861486342DR. PAUL J DOMITOR PHD
Individual
Psychologist105 W 8TH AVE SUITE 332C
SPOKANE, WA 99204
(509) 838-7400
1881681831 LAEL ELLEN HINDS
Individual
Genetic Counselor, MS105 W 8TH AVE 650E
SPOKANE, WA 99204
(509) 474-3810
1922095827 ROBERT K DURNFORD III M.D.
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6010
SPOKANE, WA 99204
(509) 838-5950
1962496448PAUL J DOMITOR AND ASSOCIATES
Organization
Psychologist105 W 8TH AVE SUITE 332C
SPOKANE, WA 99204
(509) 838-7400
1962499848 STEVEN EARL GOODELL M.D.
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6010
SPOKANE, WA 99204
(509) 838-5950

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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