PRATEEK MATHUR MD
NPI 1538510201
Internal Medicine - Gastroenterology in Louisville, KY
About Prateek Mathur Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRATEEK MATHUR MD (NPI 1538510201) is an individual gastroenterology provider in Louisville, Kentucky, licensed in Kentucky (54341) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 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
Prateek Mathur 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 Reassignments
2Medicare enrollment records show Prateek Mathur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40202
- Reassigned Medicare billing, Kentucky enrollment
- 2,337 clinicians in this Medicare group
Louisville, KY 40208
- Reassigned Medicare billing, Kentucky enrollment
- 1,896 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYNorton Hospitals, Inc
Acute Care Hospitals · Louisville, KYUniversity Of Louisville Hospital
Acute Care Hospitals · Louisville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
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 Prateek Mathur's NPI number?
The NPI number for Prateek Mathur is 1538510201. It was assigned to this individual provider in the NPPES registry on June 23, 2016.
Where is Prateek Mathur located?
Prateek Mathur practices at 225 Abraham Flexner Way Ste 502, Louisville, KY 40202. The listed phone number is (502) 588-7690.
What is Prateek Mathur's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Prateek Mathur enrolled in Medicare?
Yes. Prateek 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.
Which organizations bill Medicare for Prateek Mathur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prateek Mathur reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Community Medical Associates, Inc. (Louisville, KY). 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 Prateek Mathur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prateek Mathur accept?
Health plans from Anthem Blue Cross and Blue Shield list Prateek 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 Prateek Mathur affiliated with any hospitals?
According to CMS data, Prateek Mathur is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.
When was this NPI record last updated?
The NPPES record for Prateek Mathur was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Prateek Mathur, MD · NPI 1538510201
Gastroenterology physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since June 23, 2016.
## Identity
- **NPI:** 1538510201 (Entity type: Individual)
- **Enumerated:** June 23, 2016
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 54341 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 ABRAHAM FLEXNER WAY STE 502, Louisville, KY 40202-1896
- **Phone:** (502) 588-7690
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Louisville Physicians, Inc. (NPI 1942559851, Louisville, KY); Community Medical Associates, Inc. (NPI 1245312503, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 9, 2026
- **Other identifiers:** Medicaid 300044668 (IN); Medicaid 7100696050 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1538510201) · Data from the CMS NPPES public registry.