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ABDUL MATEEN NAGARIA M.D.
NPI 1023025707
Internal Medicine - Nephrology in Joplin, MO

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
932 E 34TH ST, SUITE 1, JOPLIN, MO 64804(417) 347-8570(417) 347-8544 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Abdul Mateen Nagaria M.d. NPPES

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

ABDUL MATEEN NAGARIA M.D. (NPI 1023025707) is an individual nephrology provider in Joplin, Missouri, licensed in Missouri (2002023331) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1023025707
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameABDUL MATEEN NAGARIACredential: M.D.
Location Address932 E 34TH ST, SUITE 1Joplin, MO 64804-3932
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-8570 · Fax (417) 347-8544
Phone(417) 347-8570
Fax(417) 347-8544
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1023025707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MO · 2002023331
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
932 E 34TH ST, Joplin, MO 64804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abdul Mateen Nagaria M.d. 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 ID8224036710
PECOS Enrollment IDI20061116000390, I20170707000335, I20180723002137
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Abdul Nagaria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Freeman-Oak Hill Health System
0.4 mi
Multi-Specialty
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Kansas, Missouri and Oklahoma enrollments
  • Also billed through NPI 1891809679 (Oklahoma)
  • 43 clinicians in this Medicare group
NPI 1679517023 (417) 347-6605
Heartland Kidney Physicians LLC
12 mi
Nephrology
2828 S GRAND AVE
Carthage, MO 64836
  • Reassigned Medicare billing, Missouri and Oklahoma enrollments
  • 4 clinicians in this Medicare group
NPI 1982978037 (417) 358-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
382 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
268 services77 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
218 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
145 services57 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.
132 services108 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services60 patients

Hospital Affiliations CMS Care Compare 4

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

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170006
Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County
Emergency services Birthing friendly

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260001
Location100 Mercy WayJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Neosho Hospital

Critical Access Hospitals · Neosho, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261331
Location113 West Hickory StreetNeosho, MO 64850 · Newton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

Other Providers at the Same Location NPPES 20

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

KIMIA NOURMAHNAD MD
Psychiatry & Neurology (Psychiatry)
932 E 34TH ST
JOPLIN, MO 64804
Newton County (417) 347-1111
SYED MUHAMMAD FARULEET AOUN JAFRI
Psychiatry & Neurology (Psychiatry)
932 E 34TH ST
JOPLIN, MO 64804
Newton County (417) 347-7603
FREEMAN-OAK HILL HEALTH SYSTEM
Psychiatric Unit
932 E 34TH ST
JOPLIN, MO 64804
Newton County (417) 347-7000
FREEMAN-OAK HILL HEALTH SYSTEM
Rehabilitation Unit
932 E 34TH ST
JOPLIN, MO 64804
Newton County (417) 347-1234
MS. LINDA DANELLE WELLER MS, CCC-SLP
Speech-Language Pathologist
932 E 34TH ST
JOPLIN, MO 64804
Newton County (417) 347-3082
REBECCA DIVYA JEYASEELAN
Physical Medicine & Rehabilitation
932 E 34TH ST
JOPLIN, MO 64804
Newton County (417) 347-1111
KISHWAR BASITH
Psychiatry & Neurology (Psychiatry)
932 E 34TH ST
JOPLIN, MO 64804
Newton County (417) 347-7603
NICHOLAS MCCARROLL
Psychiatry & Neurology (Psychiatry)
932 E 34TH ST
JOPLIN, MO 64804
Newton County (417) 347-7603

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 Abdul Nagaria's NPI number?

The NPI number for Abdul Nagaria is 1023025707. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Abdul Nagaria located?

Abdul Nagaria practices at 932 E 34th St Suite 1, Joplin, MO 64804. The listed phone number is (417) 347-8570.

What is Abdul Nagaria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Abdul Nagaria enrolled in Medicare?

Yes. Abdul Nagaria 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.

Which organizations bill Medicare for Abdul Nagaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Nagaria reassigns Medicare benefits to 2 organizations: Freeman-Oak Hill Health System (Joplin, MO) and Heartland Kidney Physicians LLC (Carthage, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdul Nagaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdul Nagaria accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 7 other insurers list Abdul Nagaria as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abdul Nagaria affiliated with any hospitals?

According to CMS data, Abdul Nagaria is affiliated with Via Christi Hospital Pittsburg Inc, Mercy Hospital Joplin, Freeman Health System - Freeman West and Freeman Neosho Hospital.

When was this NPI record last updated?

The NPPES record for Abdul Nagaria was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.