RENJI CHACKO MATHEW CRNA
NPI 1902111669
Nurse Anesthetist, Certified Registered in Philadelphia, PA

Q: What is Renji Mathew's NPI number?

The NPI number for Renji Mathew is 1902111669. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Q: What is Renji Mathew's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Renji Mathew was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 18, 2010Accepts Medicare Assignment

3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 349-8310 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Renji Chacko Mathew Crna NPPES

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

RENJI CHACKO MATHEW CRNA (NPI 1902111669) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN572530) and active in the NPI registry since August 2010. He is affiliated with Temple University Hospital and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902111669

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameRENJI CHACKO MATHEWCredential: CRNA

Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238

Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 349-8310

Phone(215) 349-8310

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 18, 2010

Last NPPES UpdateMarch 28, 2016

✔ NPI 1902111669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in PA · RN572530

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3400 SPRUCE ST, Philadelphia, PA 19104

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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

Renji Chacko Mathew Crna 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.

PECOS PAC ID1759578909

PECOS Enrollment IDI20101214000441

Medicare Billing Reassignments

Medicare enrollment records show Renji Mathew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group

Same address

Dermatopathology

3400 SPRUCE ST, 2 RHOADS PAVILION
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
3,488 clinicians in this Medicare group

NPI 1073902169 (215) 662-2737

Pennsylvania Anesthesia Professionals PLLC

1.3 mi

Anesthesiology

1700 MARKET ST STE 1005
Philadelphia, PA 19103

Reassigned Medicare billing, Pennsylvania enrollment
11 clinicians in this Medicare group

NPI 1629825187 (888) 589-8550

Temple Faculty Practice Plan Inc

2.8 mi

Family Medicine

1700 N BROAD ST
Philadelphia, PA 19121

Reassigned Medicare billing, Pennsylvania enrollment
1,991 clinicians in this Medicare group

NPI 1487136495 (215) 204-2679

United Anesthesia Services PC

4.5 mi

Anesthesiology

100 E LANCASTER AVE
Wynnewood, PA 19096

Reassigned Medicare billing, Pennsylvania enrollment
489 clinicians in this Medicare group

NPI 1053366062 (484) 476-2000

Greater Philadelphia Anesthesia Services PLLC

39 mi

Anesthesiology

225 WILMINGTON W CHESTER PIKE
Chadds Ford, PA 19317

Reassigned Medicare billing, Pennsylvania enrollment
52 clinicians in this Medicare group

NPI 1497356034 (267) 817-8902

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

24 services24 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

23 services23 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

14 services14 patients

Anesthesia for procedure to assess heart electrical activity 00537

Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390027

Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County

Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390231

Location1200 Old York RoadAbington, PA 19001 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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 20

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

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

JENNIFER DEKERLEGAND

Physical Therapist

3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3265

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 Renji Mathew's NPI number?

The NPI number for Renji Mathew is 1902111669. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Where is Renji Mathew located?

Renji Mathew practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 349-8310.

What is Renji Mathew's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Renji Mathew enrolled in Medicare?

Yes. Renji 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 organizations bill Medicare for Renji Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renji Mathew reassigns Medicare benefits to 5 organizations: University Of Penn-Medical Group (Philadelphia, PA), Pennsylvania Anesthesia Professionals PLLC (Philadelphia, PA), Temple Faculty Practice Plan Inc (Philadelphia, PA), United Anesthesia Services PC (Wynnewood, PA) and Greater Philadelphia Anesthesia Services PLLC (Chadds Ford, 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 Renji Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Renji Mathew affiliated with any hospitals?

According to CMS data, Renji Mathew is affiliated with Temple University Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Renji Mathew was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.