DR. SHAGUNA MATHUR M.D
NPI 1225470396
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in New York, NY
About Dr. Shaguna Mathur M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAGUNA MATHUR M.D (NPI 1225470396) is an individual neurology with special qualifications in child neurology provider in New York, New York, licensed in New York (346191) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
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. Shaguna Mathur M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shaguna Mathur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Omaha, NE 68131
- Reassigned Medicare billing, Nebraska enrollment
- Medicare enrollment name: Father Flanagans Boys Home
- 305 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10033
NEW YORK, NY 10033
NEW YORK, NY 10033
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 Shaguna Mathur's NPI number?
The NPI number for Shaguna Mathur is 1225470396. It was assigned to this individual provider in the NPPES registry on July 18, 2013.
Where is Shaguna Mathur located?
Shaguna Mathur practices at 575 W 181st St, New York, NY 10033. The listed phone number is (212) 342-3060.
What is Shaguna Mathur's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Shaguna Mathur enrolled in Medicare?
Yes. Shaguna Mathur is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shaguna Mathur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaguna Mathur reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Father Flanagan's Boys' Home (Omaha, NE). 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 Shaguna Mathur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaguna Mathur accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Wellmark Health Plan of Iowa, Inc. list Shaguna 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 Shaguna Mathur was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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. Shaguna Mathur, M.D · NPI 1225470396
Neurology with Special Qualifications in Child Neurology physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 18, 2013.
## Identity
- **NPI:** 1225470396 (Entity type: Individual)
- **Enumerated:** July 18, 2013
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 346191 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 575 W 181ST ST, New York, NY 10033-5002
- **Phone:** (212) 342-3060
## 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): Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY); Father Flanagan's Boys' Home (NPI 1295821825, Omaha, NE) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225470396) · Data from the CMS NPPES public registry.