Pradeep Mathur, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.05.9651 Issued in OH

Practice address

955 Windham CT
Suite 2
Boardman, OH 44512-5035

Phone

(330) 726-9570

Fax

(330) 726-9031

NPI assigned

Apr 4, 2006

Last updated

Mar 27, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Psychiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Psychiatry Group IncGroup PAC ID 6406932144, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmathur@276623a4.micromddirect.com

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

• Comprehensive Psychiatry Group Inc

  • Social Worker
  • Boardman, OH
  • NPI 1023293198
  Medicare reassignment Care Compare group NPD
• BHC Belmont Pines Hospital, Inc

  • Psychiatric Hospital
  • Youngstown, OH
  • NPI 1275582306
  NPD (past)
• Comprehensive Psychiatry Group, Inc.

  • Social Worker
  • Boardman, OH
  • NPI 1750539045
  NPD (past)
• Comprehensive Psychiatry Specialists

  • Mental Health Counselor
  • Boardman, OH
  • NPI 1780646810
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1053373159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-726-9570",
            "fax_number": "330-726-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-726-9570",
            "fax_number": "330-726-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.05.9651",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.05.9651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Massa, OD
• Grace Christina Massey
• Joseph Burton Masternick, D.O.
• Christina Masters
• Stephanie Ann Mathews, RN BSN CNP
• R. Martin Matiscik, D.C
• Matthews Eye Associates, Inc.
• Austin James Matthews
• Maureen Marie Matthews, M.D.
• Diana Mattie

• Psychiatry Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.