DR. SHEENA MATHEW MD
NPI 1992583678
Pediatrics in Bismarck, ND
About Dr. Sheena Mathew Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHEENA MATHEW MD (NPI 1992583678) is an individual pediatrics provider in Bismarck, North Dakota, licensed in North Dakota (24286) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sheena Mathew Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sheena Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- 616 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BISMARCK, ND 58501
BISMARCK, ND 58501
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 Sheena Mathew's NPI number?
The NPI number for Sheena Mathew is 1992583678. It was assigned to this individual provider in the NPPES registry on September 15, 2023.
Where is Sheena Mathew located?
Sheena Mathew practices at 900 E Broadway Ave, Bismarck, ND 58501. The listed phone number is (914) 463-1690.
What is Sheena Mathew's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Sheena Mathew enrolled in Medicare?
Yes. Sheena Mathew is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sheena Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheena Mathew reassigns Medicare benefits to St. Alexius Medical Center (Bismarck, ND). 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 Sheena Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheena Mathew accept?
Health plans from Sanford Health Plan list Sheena 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.
When was this NPI record last updated?
The NPPES record for Sheena Mathew was last updated on June 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Sheena Mathew, MD · NPI 1992583678
Pediatrics physician in Bismarck, North Dakota. Individual provider, active in the CMS NPPES registry since September 15, 2023.
## Identity
- **NPI:** 1992583678 (Entity type: Individual)
- **Enumerated:** September 15, 2023
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 24286 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 E BROADWAY AVE, Bismarck, ND 58501-4520
- **Phone:** (914) 463-1690
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Alexius Medical Center (NPI 1205868429, Bismarck, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 7, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1992583678) · Data from the CMS NPPES public registry.