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DR. PRADEEP MATHUR MD
NPI 1053373159
Psychiatry & Neurology - Psychiatry in Boardman, OH

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
955 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512(330) 726-9570(330) 726-9031 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pradeep Mathur Md NPPES

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

DR. PRADEEP MATHUR MD (NPI 1053373159) is an individual psychiatry provider in Boardman, Ohio, licensed in Ohio (35.05.9651) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1053373159
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PRADEEP MATHURCredential: MD
Location Address955 WINDHAM CT, SUITE 2Boardman, OH 44512-5035
Mailing Address955 Windham Ct, Suite 2Boardman, OH 44512-5035 · (330) 726-9570 · Fax (330) 726-9031
Phone(330) 726-9570
Fax(330) 726-9031
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateApril 4, 2006
Last NPPES UpdateMarch 27, 2014
✔ NPI 1053373159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OH · 35.05.9651
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 35.05.9651 (OH)
955 WINDHAM CT, Boardman, OH 44512
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedMA0674889OH · Medicare Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Dr. Pradeep Mathur Md 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 ID5890694962
PECOS Enrollment IDI20080321000029
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 Reassignment

Medicare enrollment records show Pradeep Mathur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Psychiatry Group Inc
Same address
Social Worker
955 WINDHAM CT, SUITE 2
Boardman, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 14 clinicians in this Medicare group
NPI 1023293198 (330) 726-9570

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 2

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.

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.
144 services59 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.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COMPREHENSIVE PSYCHIATRY GROUP INC
Social Worker
955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512
Mahoning County (330) 726-9570
MS. LISA M LESKOVEC MSED,LPCC,LSW
Counselor (Mental Health)
955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512
Mahoning County (330) 884-1900
MR. MATTHEW THEODORE REITER MAED
Counselor (Professional)
955 WINDHAM CT
BOARDMAN, OH 44512
Mahoning County (330) 726-9570
MR. RONALD D FASANO MSED, LPC
Counselor (Mental Health)
955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512
Mahoning County (330) 884-1900
MISS MARLENE C HANISKO MS IN ED
Counselor (Mental Health)
955 WINDHAM CT
YOUNGSTOWN, OH 44512
Mahoning County (330) 726-9570
MRS. JANA LEIGH KANOS MSW
Social Worker
955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512
Mahoning County (330) 726-9570
MR. MARK C DEMETRIOS CNP
Nurse Practitioner (Psychiatric/Mental Health)
955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512
Mahoning County (330) 726-9570
MRS. JANE F KNUPPEL MSW, LISW
Social Worker (Clinical)
955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512
Mahoning County (330) 884-1900

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 Pradeep Mathur's NPI number?

The NPI number for Pradeep Mathur is 1053373159. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Pradeep Mathur located?

Pradeep Mathur practices at 955 Windham Ct Suite 2, Boardman, OH 44512. The listed phone number is (330) 726-9570.

What is Pradeep Mathur's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pradeep Mathur enrolled in Medicare?

Yes. Pradeep Mathur 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 organization bills Medicare for Pradeep Mathur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Mathur reassigns Medicare benefits to Comprehensive Psychiatry Group Inc (Boardman, OH). The 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 Pradeep Mathur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pradeep Mathur accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Pradeep Mathur 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.

When was this NPI record last updated?

The NPPES record for Pradeep Mathur was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.