Individual provider Active NPI

Sandip Vijayshankar Mathur, M.D.

  • Gastroenterology Physician
  • Abilene, TX
National Provider Identifier
1972549632
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J7076 Issued in TX
Practice address
6300 Regional PLZ
Suite 820
Abilene, TX 79606-5251
Phone
(325) 692-3777
Fax
(325) 695-2659
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J7076 TX
Gastroenterology Physician 207RG0100X J7076 TX Primary

Addresses

Primary practice location

6300 Regional PLZ
Suite 820
Abilene, TX 79606-5251

Mailing address

PO Box 5496
Abilene, TX 79608-5496
Phone (325) 692-3777

Other identifiers 4

IdentifierTypeStateIssuer
110648604MedicaidTX
118749104OtherTXFIRSTCARE
8AJ206OtherTNBCBS
A002OtherTXTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040804000252 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 6507837861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

6300 Regional PLZ
Suite 820
Abilene, TX 79606-5272
Phone (325) 692-3777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy166
Upper gastrointestinal (GI) endoscopy for acid reflux287

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients

Locations

1680 Antilley Rd
Ste 115
Abilene, TX 79606
Phone (325) 428-5680

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

6300 Regional Plz
Ste 820
Abilene, TX 79606
Phone (325) 428-5502

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

Organizations & group practices 2

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 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1972549632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5496",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085496",
            "telephone_number": "325-692-3777",
            "fax_number": "325-695-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 REGIONAL PLZ",
            "address_2": "SUITE 820",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065251",
            "telephone_number": "325-692-3777",
            "fax_number": "325-695-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "SANDIP",
        "middle_name": "VIJAYSHANKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7076",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J7076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110648604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "118749104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AJ206",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.