1. Home
  2. Directory
  3. Pennsylvania
  4. Johnstown
  5. Otolaryngology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SUMEET MATHUR MD
NPI 1609864115
Otolaryngology - Plastic Surgery within the Head & Neck in Johnstown, PA

Active since October 10, 2005PECOS Enrolled
1450 SCALP AVE, SUITE 9, JOHNSTOWN, PA 15904(814) 266-1185(814) 266-1199 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sumeet Mathur Md NPPES

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

DR. SUMEET MATHUR MD (NPI 1609864115) is an individual plastic surgery within the head & neck provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD064804L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1993).

NPPES Registry Identity

NPI1609864115
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. SUMEET MATHURCredential: MD
Location Address1450 SCALP AVE, SUITE 9Johnstown, PA 15904-3374
Mailing Address1450 Scalp Ave, Suite 9Johnstown, PA 15904-3374 · (814) 266-1185 · Fax (814) 266-1199
Phone(814) 266-1185
Fax(814) 266-1199
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1993
Enumeration DateOctober 10, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1609864115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in PA · MD064804L
Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

1450 SCALP AVE, Johnstown, PA 15904
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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

Dr. Sumeet 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.

PECOS PAC ID4284530130
PECOS Enrollment IDI20031210000977, I20230814004179
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 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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,550 services36 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
576 services12 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
253 services12 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.
132 services62 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
106 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services37 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAHAR ELIAS MD
Family Medicine
1450 SCALP AVE, SUITE 1000
JOHNSTOWN, PA 15904
Cambria County (814) 269-5200
MR. KEVIN JOSEPH GREEN P.A
Physician Assistant
1450 SCALP AVE, SUITE 106
JOHNSTOWN, PA 15904
Cambria County (814) 266-8466
ERIN LYNN MARTELLA PA-C
Physician Assistant
1450 SCALP AVE, SUITE 106
JOHNSTOWN, PA 15904
Cambria County (814) 266-8466
CONEMAUGH HEALTH INITIATIVES
Psychologist
1450 SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 262-4236
CONEMAUGH HEALTH INITIATIVES
Emergency Medicine
1450 SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 269-5200
CONEMAUGH HEALTH INITIATIVES
Family Medicine
1450 SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 266-1189
LUCINDA MARSH
Registered Nurse
1450 SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 955-7475
KEVIN T MURTHA MD
Family Medicine
1450 SCALP AVE, SUITE 003B
JOHNSTOWN, PA 15904
Cambria County (814) 269-9551

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 Sumeet Mathur's NPI number?

The NPI number for Sumeet Mathur is 1609864115. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Sumeet Mathur located?

Sumeet Mathur practices at 1450 Scalp Ave Suite 9, Johnstown, PA 15904. The listed phone number is (814) 266-1185.

What is Sumeet Mathur's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Sumeet Mathur enrolled in Medicare?

Yes. Sumeet 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 Sumeet Mathur accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Sumeet 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.

When was this NPI record last updated?

The NPPES record for Sumeet Mathur was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.