NPIMap

Individual provider Active NPI

Sunjay Mathur, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sheffield Village, OH
National Provider Identifier
1093045346
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
35.121532 Issued in OH
Practice address
5319 Hoag Dr
Suite 100
Sheffield Village, OH 44035-1494
Phone
(440) 930-6015
Fax
(440) 930-6094
NPI assigned
Jan 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301102404 MI
Physical Medicine & Rehabilitation Physician 208100000X 036130393 IL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 35.121532 OH Primary

Addresses

Primary practice location

5319 Hoag Dr
Suite 100
Sheffield Village, OH 44035-1494

Mailing address

5319 Hoag Dr
Suite 100
Sheffield Village, OH 44035-1494
Phone (440) 930-6015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623001392 OH Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 6103040795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

2819 Hayes Ave
Suite 6
Sandusky, OH 44870-5391
Phone (440) 930-6015

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036130393ILMDPhysical Medicine & Rehabilitation Physician
4301102404MIMDPain Medicine (Physical Medicine & Rehabilitation) Physician
35.121532OHMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2819 Hayes Ave
Ste 6
Sandusky, OH 44870
Phone (419) 626-0225

5319 Hoag Dr
Ste 100
Sheffield Village, OH 44035
Phone (440) 233-7183

Interoperability endpoints

  • Direct secure messaging: smathur179840@direct.bsmhealth.org
  • Direct secure messaging: smathur38102@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1093045346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "SUITE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "SUITE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "SUNJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-09",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301102404",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036130393",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "35.121532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

Verify at the official NPI Registry.