Individual provider Active NPI

Deepan Mathur, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami, FL
National Provider Identifier
1790951127
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35.144160 Issued in OH
Practice address
936 SW 1St St.
Suite 428
Miami, FL 33130
Phone
(785) 608-5133
NPI assigned
May 6, 2008
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 35.144160 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35.144160 OH Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME124783 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD451133 PA
Pediatric Pathology Physician 207ZP0213X 35.144160 OH

Addresses

Primary practice location

936 SW 1St St.
Suite 428
Miami, FL 33130

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5322

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-6055

Other practice location 2

3000 Arlington Ave Stop 1090
Toledo, OH 43614-2595
Phone (419) 383-3469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170324000704 PA Practitioner - Pathology 8820373327 Reassigns benefits to 3 organizations
I20220908003414 OH Practitioner - Pathology 8820373327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451133PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Single Specialty CurrentSince Dec 22, 2025 Accepting new patients
Butler Medical Providers CurrentSince Sep 18, 2024 Accepting new patients
Butler Medical Providers Single Specialty CurrentSince Sep 18, 2024 Accepting new patients
Somc Medical Care Foundation, Inc. Single Specialty CurrentSince Dec 22, 2025 Accepting new patients
Upmc Somerset CurrentSince May 15, 2023 Accepting new patients
Butler Medical Providers Single Specialty Current Accepting new patients
Upmc Somerset Single Specialty CurrentSince May 15, 2023 Accepting new patients
Steward Medical Group Inc. Single Specialty CurrentSince May 1, 2017 Accepting new patients

Locations

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

2320 Highland Rd
Hermitage, PA 16148
Phone (724) 983-5900

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1790951127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 SW 1ST ST.",
            "address_2": "SUITE 428",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33130",
            "telephone_number": "785-608-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Arlington Ave Stop 1090",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3469",
            "fax_number": "419-383-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "DEEPAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "OH",
            "license": "35.144160",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.144160",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME124783",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD451133",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "OH",
            "license": "35.144160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.