Organization Active NPI

Laurel ENT & Allergy PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Indiana, PA
National Provider Identifier
1649387515
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
MD064804L Issued in PA
Legal business name
LAUREL ENT & ALLERGY PC
Practice address
850 Hospital Rd
Suite 2100
Indiana, PA 15701-3662
Phone
(724) 349-4360
Fax
(724) 463-1847
NPI assigned
Aug 24, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Sumeet Mathur, MDNPI 1609864115
Title
Physician/President
Phone
(724) 349-4360

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
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MD064804L PA Primary

Addresses

Primary practice location

850 Hospital Rd
Suite 2100
Indiana, PA 15701-3662

Mailing address

850 Hospital Rd
Suite 2100
Indiana, PA 15701-3662
Phone (724) 349-4360

Other names 1

  • Sam Mathur, MD, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061031000210 PA Part B Supplier - Clinic/Group Practice 3072510213 Receives reassigned benefits from 2 practitioners
Practice locations: Brackenridge, PA; Indiana, PA; Warrendale, PA
O20230814004153 WV Part B Supplier - Clinic/Group Practice 3072510213 Receives reassigned benefits from 1 practitioner
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Locations

321 Main St
Ste 5B
Johnstown, PA 15901
Phone (814) 254-4738

304 Unity Plz
Latrobe, PA 15650
Phone (724) 532-1600

101 Fowler Rd
Ste G
Warrendale, PA 15086
Phone (724) 349-4360

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1649387515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD",
            "address_2": "SUITE 2100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013662",
            "telephone_number": "724-349-4360",
            "fax_number": "724-463-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD",
            "address_2": "SUITE 2100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013662",
            "telephone_number": "724-349-4360",
            "fax_number": "724-463-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL ENT & ALLERGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "724-349-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PA",
            "license": "MD064804L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Mathur, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.