DR. ARUN REJI MATHEW M.D.
NPI 1265878185
Internal Medicine - Gastroenterology in Union, NJ

Active since May 19, 2013PECOS EnrolledAccepts Medicare Assignment
75.07/100
CMS Quality Rating
1308 MORRIS AVE STE 102, UNION, NJ 07083(908) 851-2770 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Arun Reji Mathew M.d. NPPES

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

DR. ARUN REJI MATHEW M.D. (NPI 1265878185) is an individual gastroenterology provider in Union, New Jersey, licensed in New Jersey (25MA10575400) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Rutgers New Jersey Medical School (2013).

NPPES Registry Identity

NPI1265878185
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ARUN REJI MATHEWCredential: M.D.
Location Address1308 MORRIS AVE STE 102Union, NJ 07083-3328
Mailing Address1308 Morris Ave Ste 102Union, NJ 07083-3328 · (908) 851-2770
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2013
Enumeration DateMay 19, 2013
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedAugust 23, 2021
✔ NPI 1265878185 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 NJ · 25MA10575400
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.
1308 MORRIS AVE STE 102, Union, NJ 07083

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arun Reji 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 ID5294966321
PECOS Enrollment IDI20190822001465
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 Reassignments

5

Medicare enrollment records show Arun Mathew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Gastroenterology
1308 MORRIS AVE, SUITE102
Union, NJ 07083
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Rf Ledon MD PC
  • 21 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Ambulatory Surgical
200 SHEFFIELD ST STE 101
Mountainside, NJ 07092
  • Reassigned Medicare billing, New Jersey enrollment
  • Also billed through NPI 1184778060 (New Jersey)
  • 4 clinicians in this Medicare group
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
Urology
195 LITTLE ALBANY ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services65 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
38 services36 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.
35 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 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.
21 services19 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07083 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

75.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.58
Improvement Activities40
Cost45.46

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Gastroenterology)
1308 MORRIS AVE STE 102
UNION, NJ 07083
Internal Medicine (Gastroenterology)
1308 MORRIS AVE STE 102
UNION, NJ 07083
Nurse Practitioner (Adult Health)
1308 MORRIS AVE STE 102
UNION, NJ 07083
Nurse Practitioner (Family)
1308 MORRIS AVE STE 102
UNION, NJ 07083

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 Arun Mathew's NPI number?

The NPI number for Arun Mathew is 1265878185. It was assigned to this individual provider in the NPPES registry on May 19, 2013.

Where is Arun Mathew located?

Arun Mathew practices at 1308 Morris Ave Ste 102, Union, NJ 07083. The listed phone number is (908) 851-2770.

What is Arun Mathew's specialty?

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

Is Arun Mathew enrolled in Medicare?

Yes. Arun 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.

Which organizations bill Medicare for Arun Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arun Mathew reassigns Medicare benefits to 5 organizations: Rf Ledon M.D. P.C. (Union, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Morris Avenue Endoscopy LLC (Mountainside, NJ), Barnabas Health Medical Group, PC (West Orange, NJ) and Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ). 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 Arun Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arun Mathew accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Arun 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 Arun Mathew affiliated with any hospitals?

According to CMS data, Arun Mathew is affiliated with Robert Wood Johnson University Hospital At Rahway and Trinitas Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Arun Mathew was last updated on October 12, 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.