AJAY MATHEW D.O.
NPI 1346528296
Internal Medicine - Nephrology in Zephyrhills, FL

Q: What is Ajay Mathew's NPI number?

The NPI number for Ajay Mathew is 1346528296. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Q: What is Ajay Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Ajay Mathew was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment

36763 EILAND BLVD STE 103, ZEPHYRHILLS, FL 33542(813) 994-3389(813) 355-5051 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2021, Apr 18, 2017, Mar 23, 2017 and 3 more (6 updates tracked since 2015).

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About Ajay Mathew D.o. NPPES

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

AJAY MATHEW D.O. (NPI 1346528296) is an individual nephrology provider in Zephyrhills, Florida, licensed in Florida (OS14176) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and maintains a secondary practice location in Zephyrhills.

NPPES Registry Identity

NPI1346528296

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameAJAY MATHEWCredential: D.O.

Location Address36763 EILAND BLVD STE 103Zephyrhills, FL 33542-0600

Mailing Address38135 Market SqZephyrhills, FL 33542-7505 · (813) 528-4975

Phone(813) 994-3389

Fax(813) 355-5051

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 26, 2011

Last NPPES UpdateAugust 26, 20216 updates tracked since enumeration

NPPES CertifiedAugust 26, 2021

✔ NPI 1346528296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · OS14176

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

36763 EILAND BLVD STE 103, Zephyrhills, FL 33542

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Secondary Practice Location 1

Location 138135 Market SqZephyrhills, FL 33542-7505 · Phone (813) 778-0444 · Fax (813) 355-5017

Other Identifiers 1

Medicaid019525800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare and more.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

Ajay Mathew D.o. 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 ID8729362637

PECOS Enrollment IDI20170221000693

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

Medicare enrollment records show Ajay Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Medical Clinic LLC

1.5 mi

Clinic/Center

38135 MARKET SQUARE
Zephyrhills, FL 33542

Reassigned Medicare billing, Florida enrollment
451 clinicians in this Medicare group

NPI 1821055690 (813) 780-8440

Ohi West Medical Group II LLC

1.5 mi

General Practice

38135 MARKET SQUARE DR
Zephyrhills, FL 33542

Reassigned Medicare billing, Florida enrollment
467 clinicians in this Medicare group

NPI 1982381299 (813) 780-8774

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 10

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.

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

1,197 services21 patients

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.

405 services214 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.

330 services160 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

176 services96 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

96 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

73 services68 patients

Hospital Affiliations CMS Care Compare 4

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100046

Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County

Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100173

Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County

Emergency services Birthing friendly

Adventhealth Dade City

Acute Care Hospitals · Dade City, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100211

Location13100 Ft King RdDade City, FL 33525 · Pasco County

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100319

Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims660 services$0.32 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers11 claims1,650 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims1,320 services$0.20 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers23 claims23 services$12.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALEJANDRO CARVALLO MD

Internal Medicine (Nephrology)