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DR. MATTHEW WILLIAM MUBARAK M.D.
NPI 1174978605
Pediatrics in Columbia, SC

Active since May 03, 2016PECOS Enrolled
2113 ADAMS GRV STE 101, COLUMBIA, SC 29203(803) 256-0531(803) 765-9052 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2023, Aug 21, 2020, Jul 8, 2019 (3 updates tracked since 2019).

About Dr. Matthew William Mubarak M.d. NPPES

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

DR. MATTHEW WILLIAM MUBARAK M.D. (NPI 1174978605) is an individual pediatrics provider in Columbia, South Carolina, licensed in South Carolina (82385) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174978605
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MATTHEW WILLIAM MUBARAKCredential: M.D.
Location Address2113 ADAMS GRV STE 101Columbia, SC 29203-6957
Mailing Address7901 Farrow RdColumbia, SC 29203-3220 · (803) 256-0531 · Fax (803) 765-9052
Phone(803) 256-0531
Fax(803) 765-9052
Sole ProprietorNo
Enumeration DateMay 3, 2016
Last NPPES UpdateFebruary 20, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1174978605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 82385
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2113 ADAMS GRV STE 101, Columbia, SC 29203
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew William Mubarak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Matthew Mubarak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
0.7 mi
Skilled Nursing Facility
2200 HARDEN ST
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 133 clinicians in this Medicare group
NPI 1225080260 (803) 898-8405

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 5

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

LAUREN FRANCES ANCONA M.D.
Pediatrics
2113 ADAMS GRV STE 101
COLUMBIA, SC 29203
Richland County (803) 434-6155
ELIZABETH D WALLER MD
Pediatrics
2113 ADAMS GRV STE 101
COLUMBIA, SC 29203
Richland County (803) 256-0531
KAREN MAE WAGANER PNP
Nurse Practitioner (Pediatrics)
2113 ADAMS GRV STE 101
COLUMBIA, SC 29203
Richland County (803) 256-0531
EMMA KEADY
Social Worker
2113 ADAMS GRV STE 101
COLUMBIA, SC 29203
Richland County (803) 256-0531
NAZIA ASLAM JONES M.D.
Pediatrics
2113 ADAMS GRV STE 101
COLUMBIA, SC 29203
Richland County (803) 256-0531

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 Matthew Mubarak's NPI number?

The NPI number for Matthew Mubarak is 1174978605. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Matthew Mubarak located?

Matthew Mubarak practices at 2113 Adams Grv Ste 101, Columbia, SC 29203. The listed phone number is (803) 256-0531.

What is Matthew Mubarak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Mubarak enrolled in Medicare?

Yes. Matthew Mubarak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Mubarak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mubarak reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Columbia, SC). The 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 Matthew Mubarak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Mubarak accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Matthew Mubarak 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 Matthew Mubarak was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.