TANIYA MATHEW MD
NPI 1144726944
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
665 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046(864) 907-0135 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Taniya Mathew Md NPPES

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

TANIYA MATHEW MD (NPI 1144726944) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of University Of South Carolina School Of Medicine (2018).

NPPES Registry Identity

NPI1144726944
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTANIYA MATHEWCredential: MD
Location Address665 DULUTH HWY STE 401Lawrenceville, GA 30046-4303
Mailing AddressPo Box 1190Lawrenceville, GA 30046-1190 · (864) 907-0135
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2018
Enumeration DateApril 2, 2018
NPI 1144726944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
665 DULUTH HWY STE 401, Lawrenceville, GA 30046

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

Taniya Mathew 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 ID1052664570
PECOS Enrollment IDI20210902000776
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 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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
303 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
99 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services44 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.
35 services35 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.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$40.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$15.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$66.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Family Medicine
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Internal Medicine (Nephrology)
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Internal Medicine
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046

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 Taniya Mathew's NPI number?

The NPI number for Taniya Mathew is 1144726944. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Taniya Mathew located?

Taniya Mathew practices at 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046. The listed phone number is (864) 907-0135.

What is Taniya Mathew's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Taniya Mathew enrolled in Medicare?

Yes. Taniya Mathew 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.

Is Taniya Mathew affiliated with any hospitals?

According to CMS data, Taniya Mathew is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Taniya Mathew was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.