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MATHURA MEDICAL GROUP INC
NPI 1871160960
Family Medicine in Debary, FL

Active since June 07, 2021CLIA 10D2257063 · Waiver
110 POND CT STE 203, DEBARY, FL 32713(386) 259-4106(866) 554-1654 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2021, Jun 7, 2021 (2 updates tracked since 2021).

About Mathura Medical Group Inc NPPES

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

MATHURA MEDICAL GROUP INC (NPI 1871160960) is a healthcare organization registered as a family medicine in Debary, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Shiva A Mathura, Owner, as its authorized official.

NPPES Registry Identity

NPI1871160960
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMATHURA MEDICAL GROUP INC
Location Address110 POND CT STE 203Debary, FL 32713-2717
Mailing Address110 Pond Ct Ste 203Debary, FL 32713-2717 · (386) 259-4106 · Fax (866) 554-1654
Phone(386) 259-4106
Fax(866) 554-1654
Organization SubpartNo
Authorized OfficialShiva A MathuraOwner · (386) 259-4106
Enumeration DateJune 7, 2021
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1871160960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 POND CT STE 203, Debary, FL 32713
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mathura Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mathura Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Judith Mathura, M.D.
Family Practice
NPI 1609211069
110 POND CT STE 203
Debary, FL 32713
(386) 259-4106
✔ PECOSSame address
Shiva Mathura, MD
Family Practice
NPI 1912247719
110 POND CT STE 203
Debary, FL 32713
(386) 259-4106
✔ PECOS✔ Accepts MedicareSame address

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 10D2257063

Mathura Medical Group Inc · Debary, FL
Active · expires Mar 30, 2028
CLIA Number10D2257063
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorShiva Mathura
Laboratory Phone(386) 259-4106
Laboratory LocationMathura Medical Group Inc110 Pond Ct, Ste 203, Debary, FL 32713
CLIA data matches this NPI record on: Address Name 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 Mathura Medical Group Inc's NPI number?

The NPI number for Mathura Medical Group Inc is 1871160960. It was assigned to this organization in the NPPES registry on June 7, 2021.

Where is Mathura Medical Group Inc located?

Mathura Medical Group Inc is located at 110 Pond Ct Ste 203, Debary, FL 32713. The listed phone number is (386) 259-4106.

What is Mathura Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mathura Medical Group Inc enrolled in Medicare?

Yes. Mathura Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mathura Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Mathura Medical Group Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mathura Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2257063) is associated with this NPI, valid through March 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mathura Medical Group Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mathura Medical Group Inc 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 Mathura Medical Group Inc was last updated on June 28, 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.