NIRAJ MATHUR OTR/L
NPI 1043659626
Skilled Nursing Facility in Louisville, KY
NPI Status: Active since June 18, 2013
Contact Information
4209 BRIDLEPATH PL
LOUISVILLE, KY
ZIP 40245
Phone: (502) 243-9329
- Individual
- Female
- Years of Experience 30
- Skilled Nursing Facility
- May Accept Medicare Approved Payment
About NIRAJ MATHUR
This page provides the complete NPI Profile along with additional information for Niraj Mathur, a provider established in Louisville, Kentucky with a medical specialization in Skilled Nursing Facility and more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1043659626 assigned on June 2013. The practitioner's primary taxonomy code is 314000000X with license number R1186 (KY). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1043659626
- Provider Name
- NIRAJ MATHUR OTR/L
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4209 BRIDLEPATH PL LOUISVILLE, KY 40245
- Location Phone
- (502) 243-9329
- Mailing Address
- 4209 BRIDLEPATH PL LOUISVILLE, KY 40245
- Mailing Phone
- (502) 243-9329
- Medical School Name
- OTHER
- Graduation Year
- 1996
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-18-2013
- Last Update Date
- 06-18-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- R1186
- License State
- KY
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Medicare Participation & PECOS Enrollment Status
Niraj Mathur is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5294261251
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250924002600
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for NIRAJ MATHUR OTR/L
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043659626, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043659626, enumerated as an "individual" on June 18, 2013.
The provider is located at 4209 BRIDLEPATH PL LOUISVILLE, KY 40245 and the phone number is (502) 243-9329.
Skilled Nursing Facility with taxonomy code 314000000X.
