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ASHWINI MATHAI D.O.
NPI 1316108251
Family Medicine in Zuni, NM

Active since June 23, 2008PECOS Enrolled
ROUTE 301 N 21 B AVENUE, ZUNI, NM 87327(505) 782-4431 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ashwini Mathai D.o. NPPES

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

ASHWINI MATHAI D.O. (NPI 1316108251) is an individual family medicine provider in Zuni, New Mexico, licensed in New York (270671) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316108251
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameASHWINI MATHAICredential: D.O.
Location AddressROUTE 301 N 21 B AVENUEZuni, NM 87327
Mailing Address25008 81st AveBellerose, NY 11426-2617 · (347) 451-1040
Phone(505) 782-4431
Sole ProprietorNo
Enumeration DateJune 23, 2008
Last NPPES UpdateApril 1, 2016
✔ NPI 1316108251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 270671
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
ROUTE 301 N 21 B AVENUE, Zuni, NM 87327
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Other Identifiers 2

Medicare UPIN8HN780NM
Medicaid12482251NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashwini Mathai D.o. 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 Ashwini Mathai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthtap Medical Group, P.C.
763 mi
General Practice
4370 ALPINE ROAD, STE 206
Portola Valley, CA 94028
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Healthtap Medical Group PC
  • 4 clinicians in this Medicare group
NPI 1518330539 (650) 268-9806

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 87327 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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

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

BIC T NGUYEN
Pharmacist
ROUTE 301 N 21 B AVENUE
ZUNI, NM 87327
McKinley County (505) 782-7518

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 Ashwini Mathai's NPI number?

The NPI number for Ashwini Mathai is 1316108251. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Ashwini Mathai located?

Ashwini Mathai practices at Route 301 N 21 B Avenue, Zuni, NM 87327. The listed phone number is (505) 782-4431.

What is Ashwini Mathai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ashwini Mathai enrolled in Medicare?

Yes. Ashwini Mathai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashwini Mathai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashwini Mathai reassigns Medicare benefits to Healthtap Medical Group, P.C. (Portola Valley, CA). 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 Ashwini Mathai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashwini Mathai was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.