Individual provider Active NPI

Puran Prasad Mathur, M.D.

  • Infectious Disease Physician
  • Rockville, MD
National Provider Identifier
1578619375
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D35941 Issued in MD
Practice address
2401 Research Blvd Ste 350
Rockville, MD 20850-6211
Phone
(301) 424-8317
Fax
(301) 330-6985
NPI assigned
Jan 25, 2007
Last updated
Jul 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D35941 MD Primary

Addresses

Primary practice location

2401 Research Blvd Ste 350
Rockville, MD 20850-6211

Mailing address

11520 Swains Lock Ter
Potomac, MD 20854-1200
Phone (301) 765-9003

Other identifiers 1

IdentifierTypeStateIssuer
202381400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100712000089 DC Practitioner - Infectious DiseasePractitioner - Internal Medicine 8325170392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2401 Research Blvd
Suite 350
Rockville, MD 20850-6211
Phone (301) 330-6985

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puran P Mathur, M.D., PC Infectious Disease CurrentSince Apr 25, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 Research Blvd
Ste 350
Rockville, MD 20850
Phone (301) 330-6982

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1578619375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 SWAINS LOCK TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541200",
            "telephone_number": "301-765-9003",
            "fax_number": "301-765-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506211",
            "telephone_number": "301-424-8317",
            "fax_number": "301-330-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "PURAN",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D35941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202381400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.