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, and ordering and referring status from the CMS PECOS system.
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.
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.
What insurance does Prateek Mathur accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource 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 with the weekly NPPES data releases published by CMS.
