Individual provider Active NPI

Viney Mathavan, M.D.

  • Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1780869925
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01064763A Issued in IN
Practice address
8240 Naab Rd Ste 100
Indianapolis, IN 46260-1985
Phone
(317) 207-7411
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01064763A IN Primary

Addresses

Primary practice location

8240 Naab Rd Ste 100
Indianapolis, IN 46260-1985

Mailing address

8402 Harcourt Rd
815
Indianapolis, IN 46260-2074
Phone (317) 872-1158

Other practice location 1

355 Westfield Rd Ste 120
Noblesville, IN 46060-1442
Phone (317) 776-8748

Other practice location 2

8402 Harcourt Rd
Suite # 815
Indianapolis, IN 46260-2074
Phone (317) 872-1158

Other identifiers 1

IdentifierTypeStateIssuer
200911540MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmathavan964415@DirectC.mercy.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080721000643 IN Practitioner - General Surgery 4385717537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naab Road Surgical Group PCGroup PAC ID 9133170848, 16 clinicians

Practice addresses (Care Compare)

8240 Naab Rd
Suite 100
Indianapolis, IN 46260-1985
Phone (317) 338-7450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux51
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064763AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Nov 1, 2017 Accepting new patients
Naab Road Surgical Group PC Surgery CurrentSince Mar 22, 2023 Accepting new patients
Riverview Hospital Surgery CurrentSince Nov 1, 2017 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

355 Westfield Rd
Ste 120
Noblesville, IN 46060
Phone (317) 776-0140

Interoperability endpoints

  • Direct secure messaging: vmathavan964415@directc.mercy.net

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1780869925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD",
            "address_2": "815",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602074",
            "telephone_number": "317-872-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601985",
            "telephone_number": "317-207-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Westfield Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601442",
            "country_code": "US",
            "telephone_number": "317-776-8748",
            "fax_number": "317-773-0314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8402 Harcourt Rd",
            "address_2": "SUITE # 815",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602074",
            "country_code": "US",
            "telephone_number": "317-872-1158",
            "fax_number": "317-872-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHAVAN",
        "first_name": "VINEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01064763A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200911540",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmathavan964415@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "355 Westfield Rd Ste 120",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460601442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.