PAUL S. MATHAROO MD
NPI 1689835332
Radiology - Diagnostic Radiology in Ashland, KY
About Paul S. Matharoo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL S. MATHAROO MD (NPI 1689835332) is an individual diagnostic radiology provider in Ashland, Kentucky, licensed in Kentucky (45117) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Pikeville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paul S. Matharoo 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.
Medicare Billing Reassignment
Medicare enrollment records show Paul Matharoo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashland, KY 41101
- Reassigned Medicare billing, Kentucky and Ohio enrollments
- 221 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 71
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters' Medical Center
Acute Care Hospitals · Ashland, KYPaul B Hall Regional Medical Center
Acute Care Hospitals · Paintsville, KYSouthern Ohio Medical Center
Acute Care Hospitals · Portsmouth, OHKings Daughters Medical Center Ohio
Acute Care Hospitals · Portsmouth, OHCabell Huntington Hospital, Inc
Acute Care Hospitals · Huntington, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ASHLAND, KY 41101
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 Paul Matharoo's NPI number?
The NPI number for Paul Matharoo is 1689835332. It was assigned to this individual provider in the NPPES registry on June 24, 2008.
Where is Paul Matharoo located?
Paul Matharoo practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.
What is Paul Matharoo's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Paul Matharoo enrolled in Medicare?
Yes. Paul Matharoo 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.
Which organization bills Medicare for Paul Matharoo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Matharoo reassigns Medicare benefits to Ashland Hospital Corporation (Ashland, KY). The 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 Paul Matharoo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Matharoo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Paul Matharoo 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 Paul Matharoo affiliated with any hospitals?
According to CMS data, Paul Matharoo is affiliated with King's Daughters' Medical Center, Paul B Hall Regional Medical Center, Southern Ohio Medical Center, Kings Daughters Medical Center Ohio and Cabell Huntington Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Paul Matharoo was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.