Individual provider Active NPI

Meghan Saran Mathur, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1912352170
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A167180 Issued in CA
Practice address
1901 W Harrison St
Chicago, IL 60612-3714
Phone
(949) 463-2182
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A167180 CA Primary

Addresses

Primary practice location

1901 W Harrison St
Chicago, IL 60612-3714

Mailing address

1901 W Harrison St
Chicago, IL 60612-3714
Phone (949) 463-2182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201019002187 CA Practitioner - Emergency Medicine 9739473422 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Can Emergency Physicians Medical Group IncGroup PAC ID 8820304462, 49 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2420

Hospital & facility affiliations

  • Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780
  • La Palma Intercommunity Hospital Hospital, La Palma, CA, CCN 050580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167180CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Aug 8, 2023 Accepting new patients
Southland Emergency Medical Associates Inc Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Aug 8, 2023 Accepting new patients
Golden West Emergency Medical Associates, Inc Emergency Medicine CurrentSince Oct 8, 2021 Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 8

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 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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1912352170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "949-463-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "949-463-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "MEGHAN",
        "middle_name": "SARAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A167180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.