NPIMap

Individual provider Active NPI

Ajay K Mathur, M.D.

  • Rheumatology Physician
  • Monongahela, PA
National Provider Identifier
1619979002
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD039612L Issued in PA
Practice address
1029 Country Club Rd
Suite 203
Monongahela, PA 15063-1564
Phone
(724) 258-9680
Fax
(724) 258-3193
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD039612L PA Primary

Addresses

Primary practice location

1029 Country Club Rd
Suite 203
Monongahela, PA 15063-1564

Mailing address

506 Athena Dr
Delmont, PA 15626-1005
Phone (724) 446-8686

Other identifiers 1

IdentifierTypeStateIssuer
0009962610002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001139 PA Practitioner - RheumatologyPractitioner - Internal Medicine 8426240540 Reassigns benefits to 1 organization
Practice locations: McKees Rocks, PA; Monogahela, PA

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Hospital and Health CenterGroup PAC ID 2769460757, 51 clinicians

Practice addresses (Care Compare)

1029 Country Club Rd
Suite 203
Monongahela, PA 15063-1564
Phone (724) 258-9680

Hospital & facility affiliations

  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Hospital and Health Center CurrentSince Jul 1, 2023 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jul 1, 2023 Accepting new patients
Highlands Hospital and Health Center Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

700 Park St
Ste 6
Connellsville, PA 15425
Phone (724) 603-2671

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1029 Country Club Rd
Ste 203
Monongahela, PA 15063
Phone (724) 258-9680

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

Organizations & group practices 4

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1619979002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ATHENA DR",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261005",
            "telephone_number": "724-446-8686",
            "fax_number": "724-468-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 COUNTRY CLUB RD",
            "address_2": "SUITE 203",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631564",
            "telephone_number": "724-258-9680",
            "fax_number": "724-258-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "AJAY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD039612L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009962610002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.