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ABHAY MATHUR MD
NPI 1649732702
Orthopaedic Surgery - Sports Medicine in Warwick, RI

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
455 TOLL GATE RD, WARWICK, RI 02886(401) 729-2800(401) 729-2877 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Abhay Mathur Md NPPES

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

ABHAY MATHUR MD (NPI 1649732702) is an individual sports medicine provider in Warwick, Rhode Island, licensed in Rhode Island (MD20562) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649732702
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameABHAY MATHURCredential: MD
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 729-2800
Fax(401) 729-2877
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1649732702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in RI · MD20562
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
455 TOLL GATE RD, Warwick, RI 02886
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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

Abhay 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 ID1153837307
PECOS Enrollment IDI20250723002684
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.

Hospital Affiliations CMS Care Compare

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

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. STERLING LEAF MALISH M.D.
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
MRS. JENNIFER JENNINGS NP
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
SABRINA O'DONNELL FNP-BC
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
CHRISTOPHER BAZE DO
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
KELLY SANCHEZ MD
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
KENNETH ROBERT LARSEN D.O
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 736-4289
JOHN A GELZHISER M.D.
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
RICHARD J PEDRO D.O.
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010

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 Abhay Mathur's NPI number?

The NPI number for Abhay Mathur is 1649732702. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Abhay Mathur located?

Abhay Mathur practices at 455 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 729-2800.

What is Abhay Mathur's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Abhay Mathur enrolled in Medicare?

Yes. Abhay 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.

Is Abhay Mathur affiliated with any hospitals?

According to CMS data, Abhay Mathur is affiliated with Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Abhay Mathur was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.