Active NPI
Hersh Mathur, MD
- Hospitalist Physician
- Danville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD468640
- Practice address
- 100 N Academy Ave
Danville, PA 17822-1735 - Phone
- (570) 271-6144
- NPI assigned
- Mar 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD468640 | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD468640 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
100 N Academy Ave
Danville, PA 17822-1735
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 River PL
Braselton, GA 30517-5600
Phone (770) 848-8000
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 503-3000
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- NGMC Barrow, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD468640 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Georgia Emergency Department Services, P.C. | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Internal Medicine | Current | Accepting new patients |
| Mississippi Emergency Department Services PC | Current | Accepting new patients | |
| Georgia Observation and Telehealth Services, LLC | Current | Accepting new patients | |
| Southeastern Medical Specialists, LLC | Hospitalist | Current | Accepting new patients |
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Gainesville, GA
- NPI 1508886912
-
- Emergency Care Clinic/Center
- Gainesville, GA
- NPI 1679287650
-
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
Internal Medicine
-
- Hospitalist Physician
- Toccoa, GA
- NPI 1801578638
-
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
-
- Emergency Medicine Physician
- Pascagoula, MS
- NPI 1881427961
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winder, GA
- NPI 1881144889
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1083009682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178221735",
"telephone_number": "570-271-6144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "HERSH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-31",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD468640",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD468640",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.