Organization Active NPI

Ritesh a. Mathur M.D., P.a

  • Nephrology Physician
  • Sugar Land, TX
National Provider Identifier
1417105487
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M3315 Issued in TX
Legal business name
RITESH A. MATHUR M.D., P.A
Practice address
4780 Sweetwater Blvd
Ste 100
Sugar Land, TX 77479-3163
Phone
(832) 532-7756
Fax
(832) 532-7757
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Dr. Ritesh Amjani Mathur, M.DNPI 1407802796
Title
President
Phone
(832) 532-7756

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X M3315 TX Primary

Addresses

Primary practice location

4780 Sweetwater Blvd
Ste 100
Sugar Land, TX 77479-3163

Mailing address

4780 Sweetwater Blvd
Ste 100
Sugar Land, TX 77479-3163
Phone (832) 532-7756

Other identifiers 1

IdentifierTypeStateIssuer
M3315OtherTXMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081023000578 TX Part B Supplier - Clinic/Group Practice 1052479789 Receives reassigned benefits from 3 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1417105487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD",
            "address_2": "STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793163",
            "telephone_number": "832-532-7756",
            "fax_number": "832-532-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD",
            "address_2": "STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793163",
            "telephone_number": "832-532-7756",
            "fax_number": "832-532-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITESH A. MATHUR M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "RITESH",
        "authorized_official_middle_name": "AMJANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-532-7756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M3315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M3315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.