Individual provider Active NPI

Ajay K Mathur, M.D.

  • Anesthesiology Physician
  • Chandler, AZ
National Provider Identifier
1356460588
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36299 Issued in AZ
Practice address
1909 E Ray Rd Ste 9-154
Chandler, AZ 85225-8735
Phone
(480) 888-5421
Fax
(855) 847-8908
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 36299 AZ Primary

Addresses

Primary practice location

1909 E Ray Rd Ste 9-154
Chandler, AZ 85225-8735

Mailing address

1909 E Ray Rd Ste 9-154
Chandler, AZ 85225-8735
Phone (480) 888-5421

Other practice location 1

4110 N 108th Ave Ste 105
Phoenix, AZ 85037-5772
Phone (623) 772-6999

Other practice location 2

10815 W McDowell Rd Ste 101
Avondale, AZ 85392-5009
Phone (623) 433-0110

Other practice location 3

9301 W Thomas Rd
Phoenix, AZ 85037-3327
Phone (623) 213-7407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20071022000200 AZ Practitioner - Anesthesiology 0042306151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Baylor College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
680 DHMG St Joseph's Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36299AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sjhmc Physician Services CurrentSince Feb 1, 2024 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
North Desert Consultants LLC Anesthesiology CurrentSince Jan 31, 2021 Accepting new patients
Pinnacle Anesthesia Consultants PLLC Anesthesiology CurrentSince Apr 26, 2013 Accepting new patients

Locations

10815 W McDowell Rd
Ste 101
Avondale, AZ 85392
Phone (623) 433-0110

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

4110 N 108th Ave
Ste 105
Phoenix, AZ 85037
Phone (623) 772-6999

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

9301 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 213-7407

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

File 56765
Los Angeles, CA 90074

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356460588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E RAY RD STE 9-154",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258735",
            "telephone_number": "480-888-5421",
            "fax_number": "855-847-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 E RAY RD STE 9-154",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258735",
            "telephone_number": "480-888-5421",
            "fax_number": "855-847-8908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 N 108th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375772",
            "country_code": "US",
            "telephone_number": "623-772-6999",
            "fax_number": "623-772-6444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10815 W McDowell Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925009",
            "country_code": "US",
            "telephone_number": "623-433-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9301 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373327",
            "country_code": "US",
            "telephone_number": "623-213-7407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "AJAY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "36299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.