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DR. ANITHA SARA MATHEW-SHAJI D.O.
NPI 1003049867
Internal Medicine in Roslyn Heights, NY

Active since August 27, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
70 GLEN COVE RD STE 301, ROSLYN HEIGHTS, NY 11577(516) 621-1502(516) 621-1162 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Apr 25, 2019 (2 updates tracked since 2019).

About Dr. Anitha Sara Mathew-shaji D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANITHA SARA MATHEW-SHAJI D.O. (NPI 1003049867) is an individual internal medicine provider in Roslyn Heights, New York, licensed in New York (266066) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003049867
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANITHA SARA MATHEW-SHAJICredential: D.O.
Location Address70 GLEN COVE RD STE 301Roslyn Heights, NY 11577-1731
Mailing Address70 Glen Cove Rd Ste 301Roslyn Heights, NY 11577-1731 · (516) 621-1502 · Fax (516) 621-1162
Phone(516) 621-1502
Fax(516) 621-1162
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 27, 2009
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1003049867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 266066
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
70 GLEN COVE RD STE 301, Roslyn Heights, NY 11577
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anitha Sara Mathew-shaji D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860768546
PECOS Enrollment IDI20190424002684
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
101 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
73 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARISA IP M.D.
Internal Medicine
70 GLEN COVE RD STE 301
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 621-1502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anitha Mathew-shaji's NPI number?

The NPI number for Anitha Mathew-shaji is 1003049867. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Anitha Mathew-shaji located?

Anitha Mathew-shaji practices at 70 Glen Cove Rd Ste 301, Roslyn Heights, NY 11577. The listed phone number is (516) 621-1502.

What is Anitha Mathew-shaji's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anitha Mathew-shaji enrolled in Medicare?

Yes. Anitha Mathew-shaji is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Anitha Mathew-shaji affiliated with any hospitals?

According to CMS data, Anitha Mathew-shaji is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Anitha Mathew-shaji was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.