Individual provider Active NPI

Sanjog Kumar Mathur, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Columbia, MD
National Provider Identifier
1114921053
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
D47086 Issued in MD
Practice address
10700 Charter Dr
Ste 100
Columbia, MD 21044-3631
Phone
(410) 992-7800
Fax
(410) 730-2190
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D47086 MD
Orthopaedic Surgery of the Spine Physician 207XS0117X D47086 MD Primary

Addresses

Primary practice location

10700 Charter Dr
Ste 100
Columbia, MD 21044-3631

Mailing address

10700 Charter Dr Ste 100
Columbia, MD 21044-3631
Phone (410) 992-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040612000277 DC Practitioner - Orthopedic Surgery 7315844354 Reassigns benefits to 1 organization
I20140515000539 MD Practitioner - Orthopedic Surgery 7315844354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

12 Newport Dr
Forest Hill, MD 21050-1758

187 Thomas Johnson Dr
Frederick, MD 21702-4503

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 694-8311

19851 Observation Dr
Suite 450
Germantown, MD 20876-4070
Phone (301) 977-6777

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Hospital & facility affiliations

  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion96
Laminectomy or laminotomy (partial removal of spine bones)37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D47086MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Mar 1, 2014 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Mar 1, 2014 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Mar 1, 2014 Accepting new patients
Potomac Valley Orthopaedics Associates, Chartered Orthopaedic Surgery PastSince Oct 1, 2000 Accepting new patients
Potomac Valley Sports Medicine Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Orthopaedic Surgery Past Accepting new patients
Centers for Advanced Orthopaedics LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Potomac Valley Orthopedic Assoc, Chartered Orthopaedic Surgery Past Accepting new patients

Locations

10700 Charter Dr
Ste 100
Columbia, MD 21044
Phone (301) 774-0500

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

19231 Montgomery Village Ave
Ste D11
Montgomery Village, MD 20886
Phone (301) 977-3605

19231 Montgomery Village Ave
Ste D21
Montgomery Village, MD 20886
Phone (301) 774-0500

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

3801 International Dr
Ste 200
Silver Spring, MD 20906
Phone (301) 598-1450

Interoperability endpoints

  • Direct secure messaging: sanjog.mathur.2@11878.direct.athenahealth.com
  • Direct secure messaging: smathur151879@direct.hopkinsmedicine.org
  • Direct secure messaging: sanjog.mathur.1@11878.direct.athenahealth.com
  • Direct secure messaging: 22smathur@cfaortho.emadirect.md

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1114921053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443631",
            "telephone_number": "410-992-7800",
            "fax_number": "410-720-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR",
            "address_2": "STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443631",
            "telephone_number": "410-992-7800",
            "fax_number": "410-730-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "SANJOG",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D47086",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MD",
            "license": "D47086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.