Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mithin Mathew, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265015267

Dr. Mithin Mathew, DO is an Internal Medicine in Kenosha, Wisconsin. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2021, 5 years ago. Practices with Froedtert South Inc, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6308 8th Ave
Kenosha, WI 53143-5031
Phone: (224) 551-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 350 W Thomas Rd, Phoenix, AZ 85013-4409 — (602) 406-8798

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 81607-21 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265015267
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address4001 N 3rd St Ste 290, Phoenix, AZ 85012-2071

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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