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RITESH ANJANI MATHUR M.D.
NPI 1407802796
Internal Medicine - Nephrology in Sugar Land, TX

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
40.2/100
CMS Quality Rating
4780 SWEETWATER BLVD, SUITE 100, SUGAR LAND, TX 77479(832) 532-7756(832) 532-7757 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ritesh Anjani Mathur M.d. NPPES

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

RITESH ANJANI MATHUR M.D. (NPI 1407802796) is an individual nephrology provider in Sugar Land, Texas, licensed in Texas (M3315) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1407802796
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRITESH ANJANI MATHURCredential: M.D.
Location Address4780 SWEETWATER BLVD, SUITE 100Sugar Land, TX 77479-3162
Mailing AddressPo Box 16147Sugar Land, TX 77496-6147 · (832) 532-7756 · Fax (832) 532-7757
Phone(832) 532-7756
Fax(832) 532-7757
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 23, 2014
✔ NPI 1407802796 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 TX · M3315
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.
4780 SWEETWATER BLVD, Sugar Land, TX 77479
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ritesh Anjani Mathur 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 ID3173526365
PECOS Enrollment IDI20060808000216
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.

Areas of Expertise CMS Part B claims 11

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.

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.
1,345 services254 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.
516 services70 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.
429 services201 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.
145 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
125 services122 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.
60 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

40.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality21.11
Improvement Activities0
Cost84.13

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
98%178 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,236 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%453 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%263 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%528 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%528 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
54%528 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%528 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 314 patients
0%314 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,800 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,980 services$0.56 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,980 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$17.23 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
1 supplier23 claims23 services$12.09 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.

ANISHA WAXALI MD PA
Internal Medicine
4780 SWEETWATER BLVD, SUITE 100
SUGAR LAND, TX 77479
Fort Bend County (281) 491-0094
VIDHYA SUBRAMANIAN, MD PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4780 SWEETWATER BLVD, SUITE 100
SUGAR LAND, TX 77479
Fort Bend County (832) 532-7514
RITESH A. MATHUR M.D., P.A
Internal Medicine (Nephrology)
4780 SWEETWATER BLVD, STE 100
SUGAR LAND, TX 77479
Fort Bend County (832) 532-7756
SARA FERNANDEZ M.D.
Internal Medicine
4780 SWEETWATER BLVD, SUITE 100
SUGAR LAND, TX 77479
Fort Bend County (281) 491-0094
BHADRESH B SHAH M.D.
Internal Medicine (Pulmonary Disease)
4780 SWEETWATER BLVD, SUITE 150
SUGAR LAND, TX 77479
Fort Bend County (281) 242-2444

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 Ritesh Mathur's NPI number?

The NPI number for Ritesh Mathur is 1407802796. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Ritesh Mathur located?

Ritesh Mathur practices at 4780 Sweetwater Blvd Suite 100, Sugar Land, TX 77479. The listed phone number is (832) 532-7756.

What is Ritesh Mathur's specialty?

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

Is Ritesh Mathur enrolled in Medicare?

Yes. Ritesh Mathur 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.

What insurance does Ritesh Mathur accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Ritesh 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.

Is Ritesh Mathur affiliated with any hospitals?

According to CMS data, Ritesh Mathur is affiliated with Memorial Hermann Hospital System, Houston Methodist Hospital, Houston Methodist Sugarland Hospital, Memorial Hermann Sugar Land Hospital and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Ritesh Mathur was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.