DR. ANAND JOHN MATHEW MD
NPI 1346528072
Pediatrics in Oakdale, PA
About Dr. Anand John Mathew Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANAND JOHN MATHEW MD (NPI 1346528072) is an individual pediatrics provider in Oakdale, Pennsylvania, licensed in Ohio (35.123681) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 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 and accepts Medicare assignment
Dr. Anand John Mathew Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Anand Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burgettstown, PA 15021
- Reassigned Medicare billing, Ohio, Pennsylvania and West Virginia enrollments
- 20 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 15071 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Anand Mathew's NPI number?
The NPI number for Anand Mathew is 1346528072. It was assigned to this individual provider in the NPPES registry on July 29, 2011.
Where is Anand Mathew located?
Anand Mathew practices at 400 Market Place Dr, Oakdale, PA 15071. The listed phone number is (724) 218-1931.
What is Anand Mathew's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Anand Mathew enrolled in Medicare?
Yes. Anand 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 organization bills Medicare for Anand Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anand Mathew reassigns Medicare benefits to Wmc Physician Practices LLC (Burgettstown, PA). 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 Anand Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anand Mathew accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Anand 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 Anand Mathew was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Anand John Mathew, MD · NPI 1346528072
Pediatrics physician in Oakdale, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 29, 2011.
## Identity
- **NPI:** 1346528072 (Entity type: Individual)
- **Enumerated:** July 29, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 35.123681 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 MARKET PLACE DR, Oakdale, PA 15071-4007
- **Phone:** (724) 218-1931 · **Fax:** (724) 218-1934
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wmc Physician Practices LLC (NPI 1518303288, Burgettstown, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** May 22, 2026
- **Other identifiers:** Medicaid 0104624 (OH); Medicaid 3810027747 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1346528072) · Data from the CMS NPPES public registry.