ANKUR MATHUR MD
NPI 1801530076
Pediatrics in Milwaukee, WI

Active since April 25, 2022PECOS Enrolled
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209(414) 352-3100 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2025, Apr 25, 2022 (2 updates tracked since 2022).

About Ankur Mathur Md NPPES

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

ANKUR MATHUR MD (NPI 1801530076) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (86008-20) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1801530076
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANKUR MATHURCredential: MD
Location Address3003 W GOOD HOPE RDMilwaukee, WI 53209-2042
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorYes
Enumeration DateApril 25, 2022
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1801530076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 86008-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3003 W GOOD HOPE RD, Milwaukee, WI 53209

Secondary Practice Location 1

Location 11501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 626-2274

Other Identifiers 1

Medicaid100334671WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ankur Mathur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ankur Mathur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Pharmacist
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Family Medicine
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Physician Assistant
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Family Medicine
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209

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 Ankur Mathur's NPI number?

The NPI number for Ankur Mathur is 1801530076. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Ankur Mathur located?

Ankur Mathur practices at 3003 W Good Hope Rd, Milwaukee, WI 53209. The listed phone number is (414) 352-3100.

What is Ankur Mathur's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ankur Mathur enrolled in Medicare?

Yes. Ankur Mathur is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ankur Mathur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ankur Mathur reassigns Medicare benefits to Aurora Advanced Healthcare, Inc. (Milwaukee, WI). 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 Ankur Mathur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ankur Mathur accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Ankur 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 Ankur Mathur was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.