LAUREL ENT & ALLERGY PC
NPI 1649387515
Otolaryngology - Plastic Surgery within the Head & Neck in Indiana, PA

Active since August 24, 2006CLIA 39D2193054 · Waiver
850 HOSPITAL RD, SUITE 2100, INDIANA, PA 15701(724) 349-4360(724) 463-1847 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Laurel Ent & Allergy Pc NPPES

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

LAUREL ENT & ALLERGY PC (NPI 1649387515), doing business as Sam Mathur, Md, Pc, is a healthcare organization registered as a plastic surgery within the head & neck in Indiana, Pennsylvania and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2028 and lists Sumeet Mathur, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1649387515
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameLAUREL ENT & ALLERGY PC
Location Address850 HOSPITAL RD, SUITE 2100Indiana, PA 15701-3662
Mailing Address850 Hospital Rd, Suite 2100Indiana, PA 15701-3662 · (724) 349-4360 · Fax (724) 463-1847
Fax(724) 463-1847
Organization SubpartNo
Authorized OfficialSumeet MathurPhysician/president · (724) 349-4360
Enumeration DateAugust 24, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1649387515 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.
850 HOSPITAL RD, Indiana, PA 15701

Other Names 1

Former Legal Business NameSam Mathur, Md, Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurel Ent & Allergy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20061031000210Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Laurel Ent & Allergy PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1649785460
881 HILLS PLZ STE 530
Ebensburg, PA 15931
(814) 419-8084
✔ PECOS23 mi
Otolaryngology
NPI 1609864115
1450 SCALP AVE SUITE 9
Johnstown, PA 15904
(814) 266-1185
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2193054

Laurel Ent And Allergy PC · Wexford, PA
Active · expires Sep 16, 2028
CLIA Number39D2193054
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2026
Certificate Expiration DateSeptember 16, 2028
Laboratory DirectorDr. Sumeet Mathur
Laboratory Phone(724) 349-4360
Laboratory LocationLaurel Ent And Allergy PC1000 Stonewood Drive, Wexford, PA 15090
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Laurel Ent & Allergy PC's NPI number?

The NPI number for Laurel Ent & Allergy PC is 1649387515. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider was formerly known as Sam Mathur, MD, PC.

Where is Laurel Ent & Allergy PC located?

Laurel Ent & Allergy PC is located at 850 Hospital Rd Suite 2100, Indiana, PA 15701. The listed phone number is (724) 349-4360.

What is Laurel Ent & Allergy PC's specialty?

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

Is Laurel Ent & Allergy PC enrolled in Medicare?

Yes. Laurel Ent & Allergy PC is registered in the Medicare PECOS enrollment system.

When is Laurel Ent & Allergy PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Laurel Ent & Allergy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Laurel Ent & Allergy PC, in Nurse Practitioner and Otolaryngology. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Laurel Ent & Allergy PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2193054) is associated with this NPI, valid through September 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laurel Ent & Allergy PC was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.