DR. SUNJAY MATHUR M.D.
NPI 1093045346
Physical Medicine & Rehabilitation - Pain Medicine in Sheffield Village, OH

Q: What is Sunjay Mathur's NPI number?

The NPI number for Sunjay Mathur is 1093045346. It was assigned to this individual provider in the NPPES registry on January 9, 2010.

Q: What is Sunjay Mathur's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Sunjay Mathur was last updated on August 19, 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.

Active since January 09, 2010PECOS EnrolledAccepts Medicare Assignment

5319 HOAG DR, SUITE 100, SHEFFIELD VILLAGE, OH 44035(440) 930-6015(440) 930-6094 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sunjay Mathur M.d. NPPES

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

DR. SUNJAY MATHUR M.D. (NPI 1093045346) is an individual pain medicine provider in Sheffield Village, Ohio, licensed in Ohio (35.121532) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2009).

NPPES Registry Identity

NPI1093045346

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameDR. SUNJAY MATHURCredential: M.D.

Location Address5319 HOAG DR, SUITE 100Sheffield Village, OH 44035-1494

Mailing Address5319 Hoag Dr, Suite 100Sheffield Village, OH 44035-1494 · (440) 930-6015 · Fax (440) 930-6094

Phone(440) 930-6015

Fax(440) 930-6094

Sole ProprietorYes

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2009

Enumeration DateJanuary 9, 2010

Last NPPES UpdateAugust 19, 2014

✔ NPI 1093045346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

Licenses✔ Licensed in OH · 35.121532✔ Licensed in MI · 4301102404

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 036130393 (IL)

5319 HOAG DR, Sheffield Village, OH 44035

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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. Sunjay Mathur 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 ID6103040795

PECOS Enrollment IDI20140623001392

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 Sunjay Mathur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians Lorain Specialty Care LLC

8.4 mi

Surgery

3700 KOLBE RD
Lorain, OH 44053

Reassigned Medicare billing, Ohio enrollment
227 clinicians in this Medicare group

NPI 1972126381 (440) 988-1009

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 20

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

200 services20 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

65 services39 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

61 services29 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.

59 services41 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.

54 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

34 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

32 services26 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

28 services20 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

24 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

23 services21 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

20 services19 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

17 services14 patients

Fluoroscopic guidance for needle placement 77002

17 services14 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

16 services13 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

16 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

15 services15 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

14 services13 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

12 services12 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360025

Location1111 Hayes AvenueSandusky, OH 44870 · Erie County

Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360145

Location630 East River StreetElyria, OH 44035 · Lorain County

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360172

Location3700 Kolbe RoadLorain, OH 44053 · Lorain County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

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.

DR. JOANNE HOLIDAY M.D.

Pain Medicine (Interventional Pain Medicine)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

THE CLEVELAND CLINIC FOUNDATION

General Practice

5319 HOAG DR, STE 120
SHEFFIELD VILLAGE, OH 44035

Lorain County (216) 444-2273

CHARLES I CHOI MD

Anesthesiology (Pain Medicine)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

DR. PARSHOTAM C GUPTA M.D.

Pain Medicine (Pain Medicine)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

DR. GALE A HAZEN M.D.

Neurological Surgery

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

REBECCA SUIT NP

Nurse Practitioner (Family)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6040

REBECCA CHRISTINE DOUBLER MD

Anesthesiology

5319 HOAG DR
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6050

DR. MARIO M SERTICH M.D.

Neurological Surgery

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

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 Sunjay Mathur's NPI number?

The NPI number for Sunjay Mathur is 1093045346. It was assigned to this individual provider in the NPPES registry on January 9, 2010.

Where is Sunjay Mathur located?

Sunjay Mathur practices at 5319 Hoag Dr Suite 100, Sheffield Village, OH 44035. The listed phone number is (440) 930-6015.

What is Sunjay Mathur's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Sunjay Mathur enrolled in Medicare?

Yes. Sunjay 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 Sunjay Mathur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunjay Mathur reassigns Medicare benefits to Mercy Health Physicians Lorain Specialty Care LLC (Lorain, 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 Sunjay Mathur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunjay Mathur accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Sunjay 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.

Is Sunjay Mathur affiliated with any hospitals?

According to CMS data, Sunjay Mathur is affiliated with Firelands Regional Medical Center, University Hospitals - Elyria Medical Center, Mercy Regional Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Sunjay Mathur was last updated on August 19, 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.