Organization Active NPI

Gaurav N Mathur MD PA

  • Internal Medicine Physician
  • Titusville, FL
National Provider Identifier
1407533573
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GAURAV N MATHUR MD PA
Practice address
502 Garden St
Titusville, FL 32796-3405
Phone
(321) 383-0298
Fax
(321) 225-8050
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Gaurav Narayan Mathur, MDNPI 1588152367
Title
MD/Ceo
Phone
(321) 621-0476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

502 Garden St
Titusville, FL 32796-3405

Mailing address

PO Box 1494
Titusville, FL 32781-1494
Phone (321) 621-0476

Other names 1

  • Totalhealth & Recovery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231108002345 FL Part B Supplier - Clinic/Group Practice 4587011812 Receives reassigned benefits from 1 practitioner
Practice locations: Titusville, FL

National Provider Directory

National Provider Directory

Locations

7139 N US Highway 1
Port St John, FL 32927
Phone (321) 635-8304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1407533573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1494",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327811494",
            "telephone_number": "321-621-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963405",
            "telephone_number": "321-383-0298",
            "fax_number": "321-225-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURAV N MATHUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_middle_name": "NARAYAN",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "321-621-0476",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Totalhealth & Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.