DR. RAJESH MATHEW M.D.
NPI 1144459611
Hospitalist in Douglasville, GA

Q: What is Rajesh Mathew's NPI number?

The NPI number for Rajesh Mathew is 1144459611. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Q: What is Rajesh Mathew's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Rajesh Mathew was last updated on October 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2009PECOS EnrolledAccepts Medicare Assignment

8954 HOSPITAL DR, DOUGLASVILLE, GA 30134(678) 838-2585 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2019, Feb 19, 2019, Mar 28, 2018 (3 updates tracked since 2018).

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About Dr. Rajesh Mathew M.d. NPPES

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

DR. RAJESH MATHEW M.D. (NPI 1144459611) is an individual hospitalist provider in Douglasville, Georgia, licensed in Georgia (071761) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1144459611

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. RAJESH MATHEWCredential: M.D.

Location Address8954 HOSPITAL DRDouglasville, GA 30134-2272

Mailing Address8954 Hospital DrDouglasville, GA 30134-2272 · (678) 838-2585

Phone(678) 838-2585

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 6, 2009

Last NPPES UpdateOctober 4, 20193 updates tracked since enumeration

✔ NPI 1144459611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in GA · 071761

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 071761 (GA), 94-07071 (KS), 2010-02077 (NC)

8954 HOSPITAL DR, Douglasville, GA 30134

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajesh Mathew 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 ID4587843123

PECOS Enrollment IDI20140523001152

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.

Areas of Expertise CMS Part B claims 8

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.

104 services35 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

83 services28 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.

72 services47 patients

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

57 services27 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.

46 services43 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

43 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111320

Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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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.

AMPARO PYRONNEAU NP

Nurse Practitioner (Family)

8954 HOSPITAL DR, BUILDING B, SUITE 115
DOUGLASVILLE, GA 30134

Douglas County (770) 874-5400

MS. SARAH MURPHY MSPAS, PA-C

Physician Assistant (Medical)