DR. ANISHA MATHUR M.D.
NPI 1770928194
Internal Medicine in Valhalla, NY

Q: What is Anisha Mathur's NPI number?

The NPI number for Anisha Mathur is 1770928194. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Q: What is Anisha Mathur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Anisha Mathur was last updated on September 19, 2022. 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.

Active since April 30, 2013PECOS EnrolledAccepts Medicare Assignment

100 WOODS RD, VALHALLA, NY 10595(914) 493-7979(914) 493-4530 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2022, May 18, 2021 (2 updates tracked since 2021).

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About Dr. Anisha Mathur M.d. NPPES

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

DR. ANISHA MATHUR M.D. (NPI 1770928194) is an individual internal medicine provider in Valhalla, New York, licensed in New York (305589) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1770928194

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANISHA MATHURCredential: M.D.

Location Address100 WOODS RDValhalla, NY 10595-1530

Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028

Phone(914) 493-7979

Fax(914) 493-4530

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateApril 30, 2013

Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2022

✔ NPI 1770928194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NY · 305589✔ Licensed in DC · MTL001678

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 88474 (SC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 WOODS RD, Valhalla, NY 10595

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Secondary Practice Locations 4

Location 1105 Marys AveKingston, NY 12401-5829 · Phone (845) 338-2500 · Fax (845) 331-2530

Location 2396 BroadwayKingston, NY 12401-4626 · Phone (845) 331-3131 · Fax (845) 331-2530

Location 342084 State Highway 28Margaretville, NY 12455-2820 · Phone (845) 586-2631 · Fax (845) 586-1638

Location 41150 Varnum St NEWashington, DC 20017-2104 · Phone (202) 269-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Dr. Anisha 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 ID5193157287

PECOS Enrollment IDI20201119002368

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 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

122 services74 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

93 services52 patients

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330261

Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County

Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330277

Location1 Guthrie DriveCorning, NY 14830 · Steuben County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10595 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

MRS. LISA ANN SAUER N.P.

Nurse Practitioner (Neonatal, Critical Care)