ALEXANDER P MATHAI M.D.
NPI 1104856608
Internal Medicine in Fort Wayne, IN

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
2121 LAKE AVE, FORT WAYNE, IN 46805(260) 526-5431 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexander P Mathai M.d. NPPES

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

ALEXANDER P MATHAI M.D. (NPI 1104856608) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01062241A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104856608
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALEXANDER P MATHAICredential: M.D.
Location Address2121 LAKE AVEFort Wayne, IN 46805-5100
Mailing Address12515 Golden Harvest Dr, Credentialing DepartmentFort Wayne, IN 46845-9031 · (217) 714-0220 · Fax (260) 387-6194
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1104856608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01062241A
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.
Also ListedHospitalistTaxonomy 208M00000X · License 01062241 (IN)
2121 LAKE AVE, Fort Wayne, IN 46805

Secondary Practice Location 1

Location 112515 Golden Harvest Dr, Credentialing DepartmentFort Wayne, IN 46845-9031 · Phone (217) 714-0220 · Fax (260) 387-6194

Other Identifiers 5

Other11589278IN · Caqh
Other000000485120IN · Anthem
Medicaid2680111OH
Medicaid200827920IN
OtherPOO390087Railroad

Accepted 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

Alexander P Mathai 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 ID1759483209
PECOS Enrollment IDI20070301000269
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

8

Medicare enrollment records show Alexander Mathai reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
12515 GOLDEN HARVEST DR
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
Hospitalist
215 W 4TH ST, # 200
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 384 clinicians in this Medicare group
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
Internal Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 21 clinicians in this Medicare group
Internal Medicine
2000 EOFF ST
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 193 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
Internal Medicine
5410 MARYLAND WAY STE 300
Brentwood, TN 37027
  • Reassigned Medicare billing, Alabama enrollment
  • 32 clinicians in this Medicare group
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group

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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
81 services56 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
61 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
42 services41 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
12 services12 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Registered Nurse (Oncology)
2121 LAKE AVE
FORT WAYNE, IN 46805
Pharmacist
2121 LAKE AVE
FORT WAYNE, IN 46805
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse (Home Health)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse
2121 LAKE AVE
FORT WAYNE, IN 46805
Surgery
2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805
Social Worker (Clinical)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse (General Practice)
2121 LAKE AVE
FORT WAYNE, IN 46805

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 Alexander Mathai's NPI number?

The NPI number for Alexander Mathai is 1104856608. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Alexander Mathai located?

Alexander Mathai practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 526-5431.

What is Alexander Mathai's specialty?

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

Is Alexander Mathai enrolled in Medicare?

Yes. Alexander Mathai 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 Alexander Mathai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Mathai reassigns Medicare benefits to 8 organizations: Allen County Internal Medicine PC (Fort Wayne, IN), Sound Physicians Of Indiana, LLC (Mishawaka, IN), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Hospitalist Medicine Physicians Of Wisconsin, Ltd (Kenosha, WI), Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV) and 3 more organizations, listed in the Medicare section above. 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 Alexander Mathai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Mathai accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Alexander Mathai 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 Alexander Mathai was last updated on August 24, 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.