AJAY K MATHUR M.D.
NPI 1619979002
Internal Medicine - Rheumatology in Monongahela, PA

Q: What is Ajay Mathur's NPI number?

The NPI number for Ajay Mathur is 1619979002. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Ajay Mathur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Ajay Mathur was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 15, 2005PECOS EnrolledAccepts Medicare Assignment

1029 COUNTRY CLUB RD, SUITE 203, MONONGAHELA, PA 15063(724) 258-9680(724) 258-3193 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ajay K Mathur M.d. NPPES

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

AJAY K MATHUR M.D. (NPI 1619979002) is an individual rheumatology provider in Monongahela, Pennsylvania, licensed in Pennsylvania (MD039612L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1619979002

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameAJAY K MATHURCredential: M.D.

Location Address1029 COUNTRY CLUB RD, SUITE 203Monongahela, PA 15063-1564

Mailing Address506 Athena DrDelmont, PA 15626-1005 · (724) 446-8686 · Fax (724) 468-6207

Phone(724) 258-9680

Fax(724) 258-3193

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateAugust 15, 2005

Last NPPES UpdateJune 25, 2008

✔ NPI 1619979002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in PA · MD039612L

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1029 COUNTRY CLUB RD, Monongahela, PA 15063

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Other Identifiers 3

Medicare UPINC34502PA

Medicaid0009962610002PA

Medicare ID-Type Unspecified472511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Ajay K 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 ID8426240540

PECOS Enrollment IDI20101007001139

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 4

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.

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.

151 services99 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.

76 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390041

Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County

Emergency services

Washington Hospital, The

Acute Care Hospitals · Washington, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390042

Location155 Wilson AvenueWashington, PA 15301 · Washington County

Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390145

Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County

Emergency services Birthing friendly

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390147

Location1163 Country Club RoadMonongahela, PA 15063 · Washington County

Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15063 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Other Providers at the Same Location NPPES 2

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

HIGHLANDS HOSPITAL AND HEALTH CENTER

Internal Medicine (Rheumatology)

1029 COUNTRY CLUB RD
MONONGAHELA, PA 15063

Washington County (724) 258-9680

ER DERMATOLOGY INC

Dermatology

1029 COUNTRY CLUB RD, SUITE 201
MONONGAHELA, PA 15063

Washington County (724) 565-4575

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 Ajay Mathur's NPI number?

The NPI number for Ajay Mathur is 1619979002. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Ajay Mathur located?

Ajay Mathur practices at 1029 Country Club Rd Suite 203, Monongahela, PA 15063. The listed phone number is (724) 258-9680.

What is Ajay Mathur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ajay Mathur enrolled in Medicare?

Yes. Ajay 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 Ajay Mathur accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ajay 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 Ajay Mathur affiliated with any hospitals?

According to CMS data, Ajay Mathur is affiliated with Uniontown Hospital, Washington Hospital, The, Excela Health Westmoreland Regional Hospital, Penn Highlands Mon Valley and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Mathur was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.