Active NPI
Parijat Mathur, MD
- Hospitalist Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD16951
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 788-4800
- Fax
- (517) 817-7050
- NPI assigned
- Jul 8, 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 1021872 | MA | |
| Internal Medicine Physician | 207R00000X | 1021872 | MA | |
| Hospitalist Physician | 208M00000X | MD16951 | RI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
117 Ellenfiled Street
Suite 101
Providence, RI 02905-4513
Phone (401) 444-6779
Other practice location 1
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
Other practice location 2
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
Other practice location 3
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-2500
Other practice location 4
115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 766-2970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4102
Hospital & facility affiliations
- The Miriam Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16951 | RI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients |
Locations
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
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.
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1376926378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFILED STREET",
"address_2": "SUITE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054513",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-788-4800",
"fax_number": "517-817-7050"
}
],
"practiceLocations": [
{
"address_1": "736 Cambridge St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021352907",
"country_code": "US",
"telephone_number": "617-789-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 N Pearl St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023011794",
"country_code": "US",
"telephone_number": "508-427-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "164 Summit Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029062853",
"country_code": "US",
"telephone_number": "401-793-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Cass Ave",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "028954705",
"country_code": "US",
"telephone_number": "401-766-2970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHUR",
"first_name": "PARIJAT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-08",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "1021872",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "1021872",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "RI",
"license": "MD16951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.