ANUPAMA K MATHEW M.D.
NPI 1164620811
Internal Medicine - Gastroenterology in Peoria, AZ

Active since July 04, 2007PECOS EnrolledAccepts Medicare Assignment
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381(623) 876-3840(623) 285-2602 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2024, Mar 18, 2020, Feb 20, 2019 (3 updates tracked since 2019).

About Anupama K Mathew M.d. NPPES

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

ANUPAMA K MATHEW M.D. (NPI 1164620811) is an individual gastroenterology provider in Peoria, Arizona, licensed in Indiana (01092255A) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1164620811
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameANUPAMA K MATHEWCredential: M.D.
Location Address13640 N PLAZA DEL RIO BLVDPeoria, AZ 85381-4846
Mailing AddressPo Box 11773Chandler, AZ 85248-0013 · (480) 907-7707 · Fax (480) 907-7097
Fax(623) 285-2602
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2001
Enumeration DateJuly 4, 2007
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1164620811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IN · 01092255A
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedSpecialistTaxonomy 174400000X · License 32945 (AZ)
13640 N PLAZA DEL RIO BLVD, Peoria, AZ 85381

Other Names 1

Other Name (5)Anu K Mathew

Secondary Practice Location 1

Location 111104 Parkview Circle Dr Ste 310Fort Wayne, IN 46845-1733 · Phone (260) 266-5230 · Fax (260) 266-5238

Accepted 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

Anupama K 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 ID6406834555
PECOS Enrollment IDI20040713001480, I20250911002393, I20251223000613
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 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services39 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.
40 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services15 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Nurse Practitioner (Family)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Family Medicine
13640 N PLAZA DEL RIO BLVD, STE 210
PEORIA, AZ 85381
Nurse Practitioner (Psychiatric/Mental Health)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Durable Medical Equipment & Medical Supplies
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Family Medicine (Geriatric Medicine)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Nurse Practitioner (Family)
13640 N PLAZA DEL RIO BLVD, SUITE 350
PEORIA, AZ 85381
Psychiatry & Neurology (Psychiatry)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Family Medicine
13640 N PLAZA DEL RIO BLVD, STE 350
PEORIA, AZ 85381

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 Anupama Mathew's NPI number?

The NPI number for Anupama Mathew is 1164620811. It was assigned to this individual provider in the NPPES registry on July 4, 2007. The provider is also known as Anu K Mathew.

Where is Anupama Mathew located?

Anupama Mathew practices at 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381. The listed phone number is (623) 876-3840.

What is Anupama Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anupama Mathew enrolled in Medicare?

Yes. Anupama 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.

What insurance does Anupama Mathew accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Oscar Health Plan, Inc. and 1 other insurer list Anupama Mathew 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 Anupama Mathew affiliated with any hospitals?

According to CMS data, Anupama Mathew is affiliated with Billings Clinic and Los Alamos Medical Center.

When was this NPI record last updated?

The NPPES record for Anupama Mathew was last updated on March 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.