ROBERT S. MATHIAS MD NPI 1215965595

NPI Information

NPI: 1215965595
Provider Name: ROBERT S. MATHIAS, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
9555 S 52ND AVE
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-5437
Get Directions

Robert S. Mathias, MD is a pediatric nephrology pediatrics in Oak Lawn, IL. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Robert S. Mathias, MD NPI is 1215965595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9555 S 52ND AVE
OAK LAWN, IL
ZIP 60453-054
Phone: (708) 684-5437

The NPI 1215965595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 5/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0210X	Pediatrics	Pediatric Nephrology	G54520	CALIFORNIA	No
2	2080P0210X	Pediatrics	Pediatric Nephrology	ME96677	FLORIDA	No
3	2080P0210X	Pediatrics	Pediatric Nephrology	036-163497	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8326829	MEDICAID	WASHINGTON
2	806503700	MEDICAID	IDAHO
3	208735407	MEDICAID	MISSOURI
4	002086395	MEDICAID	NEVADA
5	276312500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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