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ASHISH KUMAR MATHUR M.D.
NPI 1639499841
Allergy & Immunology in Cincinnati, OH

Active since June 10, 2010PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
422 RAY NORRISH DR # 2, CINCINNATI, OH 45246(513) 671-6707(513) 671-6710 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2020, Oct 21, 2016, Sep 1, 2016 (3 updates tracked since 2016).

About Ashish Kumar Mathur M.d. NPPES

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

ASHISH KUMAR MATHUR M.D. (NPI 1639499841) is an individual allergy & immunology provider in Cincinnati, Ohio, licensed in Ohio (35.129279) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2010).

NPPES Registry Identity

NPI1639499841
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameASHISH KUMAR MATHURCredential: M.D.
Location Address422 RAY NORRISH DR # 2Cincinnati, OH 45246-1520
Mailing Address422 Ray Norrish Dr # 2Cincinnati, OH 45246-1520 · (513) 671-6707 · Fax (513) 671-6710
Phone(513) 671-6707
Fax(513) 671-6710
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2010
Enumeration DateJune 10, 2010
Last NPPES UpdateDecember 18, 20203 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1639499841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in OH · 35.129279
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
422 RAY NORRISH DR # 2, Cincinnati, OH 45246
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Other Identifiers 1

Medicaid201367500IN

Accepted Insurance

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

Ashish Kumar 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 ID6406099522
PECOS Enrollment IDI20160804002073
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.

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.
3,508 services142 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.
1,980 services210 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.
1,644 services26 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.
199 services131 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
197 services24 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.
125 services16 patients

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$4.15 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 4

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

WILLIAM J NIEMES MD INC
Allergy & Immunology
422 RAY NORRISH DR # 2
CINCINNATI, OH 45246
Hamilton County (513) 671-0799
ALLERGY & ASTHMA CARE INC
Allergy & Immunology
422 RAY NORRISH DR # 2
CINCINNATI, OH 45246
Hamilton County (513) 671-6707
JEFFREY B RAUB MD
Allergy & Immunology
422 RAY NORRISH DR # 2
CINCINNATI, OH 45246
Hamilton County (513) 671-6707
DR. JOHN ROBERT SEYERLE MD
Allergy & Immunology
422 RAY NORRISH DR # 2
CINCINNATI, OH 45246
Hamilton County (513) 671-6707

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 Ashish Mathur's NPI number?

The NPI number for Ashish Mathur is 1639499841. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Ashish Mathur located?

Ashish Mathur practices at 422 Ray Norrish Dr # 2, Cincinnati, OH 45246. The listed phone number is (513) 671-6707.

What is Ashish Mathur's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Ashish Mathur enrolled in Medicare?

Yes. Ashish 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 Ashish Mathur accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Ashish 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 Ashish Mathur was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.