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RUPAL D MATHUR MD
NPI 1154683969
Internal Medicine in Houston, TX

Active since June 08, 2012Opted out of Medicare · through Jun 29, 2027
3100 WESLAYAN ST STE 300, HOUSTON, TX 77027(713) 299-1634(844) 874-5970 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 1, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Rupal D Mathur Md NPPES

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

RUPAL D MATHUR MD (NPI 1154683969) is an individual internal medicine provider in Houston, Texas, licensed in Texas (Q3734) and active in the NPI registry since June 2012. She has opted out of Medicare through June 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154683969
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRUPAL D MATHURCredential: MD
Location Address3100 WESLAYAN ST STE 300Houston, TX 77027-5752
Mailing Address3100 Weslayan St Ste 300Houston, TX 77027-5752 · (713) 299-1634
Phone(713) 299-1634
Fax(844) 874-5970
Sole ProprietorNo
Enumeration DateJune 8, 2012
Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1154683969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · Q3734✔ Licensed in MA · L-251572
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.
3100 WESLAYAN ST STE 300, Houston, TX 77027
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Other Names 1

Former Name (1)Rupal D Bhimani Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rupal D Mathur Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 29, 2021 through June 29, 2027.

Opt-Out Effective DateJune 29, 2021
Opt-Out In Effect ThroughJune 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAURA ELIZABETH HARDIN PA-C
Physician Assistant (Medical)
3100 WESLAYAN ST STE 300
HOUSTON, TX 77027
Harris County (713) 299-1634

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 Rupal Mathur's NPI number?

The NPI number for Rupal Mathur is 1154683969. It was assigned to this individual provider in the NPPES registry on June 8, 2012. The provider is also known as Rupal D Bhimani MD.

Where is Rupal Mathur located?

Rupal Mathur practices at 3100 Weslayan St Ste 300, Houston, TX 77027. The listed phone number is (713) 299-1634.

What is Rupal Mathur's specialty?

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

Is Rupal Mathur enrolled in Medicare?

No. Rupal Mathur has opted out of Medicare through June 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Rupal Mathur accept?

Health plans from Blue Cross and Blue Shield of Texas list Rupal 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 Rupal Mathur was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.