DR. SMITHA RAJAN MATHEW M.D
NPI 1225325384
Pediatrics - Pediatric Critical Care Medicine in Augusta, GA
About Dr. Smitha Rajan Mathew M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SMITHA RAJAN MATHEW M.D (NPI 1225325384) is an individual pediatric critical care medicine provider in Augusta, Georgia, licensed in Georgia (081114) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Smitha Rajan Mathew M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Smitha Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- 1,151 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Smitha Mathew's NPI number?
The NPI number for Smitha Mathew is 1225325384. It was assigned to this individual provider in the NPPES registry on July 8, 2011.
Where is Smitha Mathew located?
Smitha Mathew practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.
What is Smitha Mathew's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Smitha Mathew enrolled in Medicare?
Yes. Smitha Mathew is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Smitha Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Smitha Mathew reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each 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 Smitha Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Smitha Mathew accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Smitha 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.
When was this NPI record last updated?
The NPPES record for Smitha Mathew was last updated on July 25, 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.
# Dr. Smitha Rajan Mathew, M.D · NPI 1225325384
Pediatric Critical Care Medicine physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since July 8, 2011.
## Identity
- **NPI:** 1225325384 (Entity type: Individual)
- **Enumerated:** July 8, 2011
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 081114 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-3957
- **Phone:** (706) 721-8623
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Au Medical Associates Inc (NPI 1841230620, Augusta, GA); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1225325384) · Data from the CMS NPPES public registry.