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

Justin Itty Mathew, MD, MLS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417310764

Justin Itty Mathew, MD, MLS is an Emergency Medicine in Albuquerque, New Mexico. Qualified in 2016, 10 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
10
Licensed in
NM
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Albuquerque, NM
Fax: (505) 272-0475

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence MD02018-0609 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MD2018-0609 (NM)

Record details

NPI number1417310764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MLS
Sole proprietorYes
NPI enumeratedApril 4, 2016
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque