Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SHAGUNA MATHUR M.D
NPI 1225470396
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in New York, NY

Active since July 18, 2013PECOS Enrolled
575 W 181ST ST, NEW YORK, NY 10033(212) 342-3060 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2026, Jan 31, 2017 (2 updates tracked since 2017).

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

NPI1225470396
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. SHAGUNA MATHURCredential: M.D
Location Address575 W 181ST STNew York, NY 10033-5002
Mailing Address630 W 168th St # 4New York, NY 10032-3725
Sole ProprietorYes
Enumeration DateJuly 18, 2013
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1225470396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License Licensed in NY · 346191
Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPediatricsTaxonomy 208000000X · License 125064197 (IL)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 268576 (MA)
Also ListedPsychiatry & Neurology · Neurodevelopmental DisabilitiesTaxonomy 2084P0005X · License 31873 (NE)
575 W 181ST ST, New York, NY 10033

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 (PECOS)

Dr. Shaguna Mathur 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.

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.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 (Pediatrics)
575 W 181ST ST
NEW YORK, NY 10033
Internal Medicine
575 W 181ST ST
NEW YORK, NY 10033
Internal Medicine
575 W 181ST ST, WASHINGTON HEIGHTS FAMILY HEALTH CENTER
NEW YORK, NY 10033
Pediatrics (Adolescent Medicine)
575 W 181ST ST
NEW YORK, NY 10033
Pediatrics
575 W 181ST ST
NEW YORK, NY 10033
Internal Medicine
575 W 181ST ST
NEW YORK, NY 10033
Psychiatry & Neurology (Child & Adolescent Psychiatry)
575 W 181ST ST
NEW YORK, NY 10033
Pediatrics
575 W 181ST ST, WASHINGTON HEIGHTS FAMILY HEALTH CLI
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.

What insurance does Shaguna Mathur accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers 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 with the weekly NPPES data releases published by CMS.