Gaurav Mathur, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME121449 Issued in FL

Practice address

10065 Cortez Blvd
Weeki Wachee, FL 34613-6389

Phone

(352) 596-4660

Fax

(352) 596-4674

NPI assigned

Jul 30, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idicula Medical Associates MD PAGroup PAC ID 0840290730, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• Tampa General Hospital Hospital, Tampa, FL, CCN 100128

Merit-based Incentive Payment System (MIPS)

Final score

88.19 of 100Reported as group

Quality

76.62

Promoting interoperability

99

Improvement activities

40

Cost

77.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIIBAA/Endpoint/GIIBAA
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://fhir4.healow.com/fhir/r4/GIIBAA
• Direct secure messaging: gmathur296156@direct.tgh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idicula Medical Associates MD PA

  • Specialist
  • Brooksville, FL
  • NPI 1982781688
  Medicare reassignment Care Compare group NPD
• Spring Hill Imaging LLC

  • Diagnostic Radiology Physician
  • Brooksville, FL
  • NPI 1386731180
  Medicare reassignment
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• St Luke Heart Institute Inc

  • Specialist
  • Brooksville, FL
  • NPI 1528196847
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Health Sciences Center Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1043524176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136389",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136389",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12083 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346137350",
            "country_code": "US",
            "telephone_number": "352-596-4022",
            "fax_number": "352-596-9851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "GAURAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD444064",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME121449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14YM0",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013916600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01483698",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melvin Chia-Hung Lu, M.D.
• Rachael M Lurie
• Marie Beauregard Weiss LCSW PA
• Nathanael R Martinez, MA
• Erin Abbott Street Mateer, MD
• Kathryn Lee Mazzella, PMHNP-BC
• Clevon Shamar McGee
• Hector Medrano, PHARMD
• Shane Ericson Messmer
• Mobility Styles Inc

• Cardiovascular Disease Physician in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.