DR. NEILSON MATHEWS (M.D.) – Family Medicine Physician, NPI 1114920915

DR. NEILSON MATHEWS (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD061592L (PA). The NPI Number for DR. NEILSON MATHEWS (M.D.) is 1114920915

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. NEILSON MATHEWS (M.D.)
NPI
1114920915
Phone
Not provided
Address
PO BOX 783311
Enumeration Date
24 May 2005
Last Update Date
27 February 2018

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
2961462395
Group Practice PAC ID
4284065327
Professional Enrollment ID
I20041012000174
Address ID
PA181045052AL400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

6,100 FAMILY PRACTICE in PA

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Provider Addresses for DR. NEILSON MATHEWS (M.D.)

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone:

    Type: Mailing

  • Chew Street, Jordan Heights, Allentown, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181045549

    Phone: (610) 969-3500

    Fax: (610) 969-3509

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041012000174IFamily PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19178)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284065327View full group profile
NameSpecialtyState
Nurse PractitionerPA
-PA
Internal Medicine, RheumatologyPA
Internal MedicinePA
C H I R O P R A C T I CPA
Family Practice, Geriatric MedicinePA
Physician AssistantPA
Physician AssistantPA
Nurse PractitionerPA
Nurse PractitionerPA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. NEILSON MATHEWS (M.D.)?
NPI 1114920915 is assigned to DR. NEILSON MATHEWS (M.D.) under the national enumeration system.
Does this profile mean DR. NEILSON MATHEWS (M.D.) is currently active?
Yes — DR. NEILSON MATHEWS (M.D.) appears active in the national provider directory.
Does DR. NEILSON MATHEWS (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. NEILSON MATHEWS (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. NEILSON MATHEWS (M.D.)?
We surface Philadelphia, Pennsylvania for DR. NEILSON MATHEWS (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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