Active NPI
Krishan Mathur, M.D.
- Hematology & Oncology Physician
- Waldorf, MD
National Provider Identifier
1326082884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D28352
- Practice address
- 3500 Old Washington Rd
Suite 102
Waldorf, MD 20602-3224 - Phone
- (301) 645-4242
- Fax
- (301) 705-7512
- NPI assigned
- Jun 15, 2006
- Last updated
- Nov 30, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | D28352 | MD | Primary |
Addresses
Primary practice location
3500 Old Washington Rd
Suite 102
Waldorf, MD 20602-3224
Mailing address
PO Box 2729
La Plata, MD 20646-2729
Phone (301) 645-4242
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301331600 | Medicaid | MD | |
| 3600310 | Other | UHC | |
| 38917 | Other | MAMSI | |
| 35150501 | Other | CAREFIRST BC BS | |
| 4376960 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Waldorf, MD
- NPI 1235431248
-
dba Cambridge Oncology and Infusion Center
- Hematology & Oncology Physician
- Waldorf, MD
- NPI 1629277165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1326082884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2729",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206462729",
"telephone_number": "301-645-4242",
"fax_number": "301-705-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 OLD WASHINGTON RD",
"address_2": "SUITE 102",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023224",
"telephone_number": "301-645-4242",
"fax_number": "301-705-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "KRISHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D28352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301331600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "3600310",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "38917",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC BS",
"identifier": "35150501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4376960",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.