Individual provider Active NPI

Arun Kumar Mathur, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Wooster, OH
National Provider Identifier
1396805362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
35035820M Issued in OH
Practice address
1749 Cleveland Rd
Wooster, OH 44691-2203
Phone
(330) 264-9699
Fax
(330) 264-7999
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 35035820M OH Primary

Addresses

Primary practice location

1749 Cleveland Rd
Wooster, OH 44691-2203

Mailing address

1749 Cleveland Rd
Wooster, OH 44691-2203
Phone (330) 264-9699

Other identifiers 1

IdentifierTypeStateIssuer
0289316MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100924000030 OH Practitioner - Otolaryngology 6901709021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster ENT Associates IncGroup PAC ID 6204739311, 6 clinicians

Practice addresses (Care Compare)

1197 Glen Dr
Unit C
Millersburg, OH 44654-8981
Phone (330) 264-9699

1749 Cleveland Rd
Wooster, OH 44691-2203
Phone (330) 264-9699

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • Pomerene Hospital Hospital, Millersburg, OH, CCN 360148

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35035820MOHMDOtolaryngology/Facial Plastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: arun.mathur.p1@direct.went.nextgenshare.com

Organizations & group practices 1

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 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396805362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912203",
            "telephone_number": "330-264-9699",
            "fax_number": "330-264-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912203",
            "telephone_number": "330-264-9699",
            "fax_number": "330-264-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "ARUN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "OH",
            "license": "35035820M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289316",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.