NILESH MATHURIA M.D.
NPI 1962674960
Internal Medicine - Cardiovascular Disease in Los Angeles, CA

Q: What is Nilesh Mathuria's NPI number?

The NPI number for Nilesh Mathuria is 1962674960. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Q: What is Nilesh Mathuria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Nilesh Mathuria was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 31, 2008PECOS EnrolledAccepts Medicare Assignment

200 MEDICAL PLZ, SUITE 365C, LOS ANGELES, CA 90095(310) 206-2235(310) 825-2092 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Nilesh Mathuria M.d. NPPES

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

NILESH MATHURIA M.D. (NPI 1962674960) is an individual cardiovascular disease provider in Los Angeles, California, licensed in California (C53713) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2002).

NPPES Registry Identity

NPI1962674960

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameNILESH MATHURIACredential: M.D.

Location Address200 MEDICAL PLZ, SUITE 365CLos Angeles, CA 90095-0001

Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631 · (310) 206-2235 · Fax (310) 825-2092

Phone(310) 206-2235

Fax(310) 825-2092

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2002

Enumeration DateMarch 31, 2008

Last NPPES UpdateNovember 30, 2010

✔ NPI 1962674960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · C53713

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License C53713 (CA), L9801 (TX)

200 MEDICAL PLZ, Los Angeles, CA 90095

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Other Identifiers 2

Medicare PINDR333ZCA

Medicare PIN8K8416TX

Accepted Insurance

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

Nilesh Mathuria 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 ID6901979368

PECOS Enrollment IDI20080717000385

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 Reassignments

Medicare enrollment records show Nilesh Mathuria reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Katy Cardiovascular Services, LP

1,366 mi

Multi-Specialty

18400 KATY FREEWAY, SUITE 330
Houston, TX 77094

Reassigned Medicare billing, Texas enrollment
23 clinicians in this Medicare group

NPI 1841596251 (281) 829-2226

Houston Methodist Specialty Physicians

1,384 mi

Otolaryngology

7550 GREENBRIAR DR STE 600
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
1,579 clinicians in this Medicare group

NPI 1902614332 (281) 414-6055

Texas Heart Rhythm Center, PA

1,384 mi

Cardiovascular Disease

6624 FANNIN ST, SUITE 1710
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1114052131 (713) 383-6500

Tmh Physician Associates PLLC

1,384 mi

Ophthalmology

6550 FANNIN ST, SUITE 447
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,407 clinicians in this Medicare group

NPI 1275779225 (713) 441-7389

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 26

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

446 services289 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

414 services248 patients

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297

This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.

197 services60 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

135 services135 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

121 services38 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

90 services57 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

78 services76 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

74 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

63 services39 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

58 services47 patients

Evaluation of cardiac rhythm monitor system 93291

The evaluation of a cardiac rhythm monitor system involves checking your heart's electrical activity. It's a non-invasive procedure that uses a device to record your heart's rhythm and rate. This helps identify any irregularities, ensuring your heart is functioning properly.

47 services36 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 93656

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

47 services47 patients

Programming of heart rhythm stimulation after drug infusion 93623

Programming of heart rhythm stimulation after drug infusion is a process to regulate your heartbeat. After a medication is administered into your body, a device is programmed to monitor and correct irregular heart rhythms, ensuring your heart functions optimally.

45 services45 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

44 services38 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

38 services38 patients

Insertion of pacemaker and upper and lower heart chamber electrode 33208

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

27 services27 patients

Insertion of catheters and destruction of tissue to treat abnormal heart rhythm 93655

This procedure involves placing small tubes (catheters) into your heart via a blood vessel. These catheters emit energy that corrects irregular heartbeats by eliminating the problematic heart tissue. It's a common, minimally invasive method to treat abnormal heart rhythms.

26 services26 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

23 services18 patients

Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm 93657

This procedure involves using a tube, or catheter, to access your upper heart chamber. Special tools are then used to destroy a small area of heart tissue causing abnormal rhythm. This helps reset your heart's regular rhythm, improving heart function.

17 services16 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

16 services15 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system 93289

This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.

16 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services11 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

14 services14 patients

Insertion of heart rhythm monitor under skin 33285

The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.

12 services12 patients

Programming of dual lead implantable defibrillator system 93283

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

11 services11 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) 93653

This procedure is a detailed study of your heart's electrical activity. A thin tube (catheter) is inserted into your heart to identify and eliminate the area causing a fast heart rate. This helps restore normal heart rhythm, specifically targeting the upper chamber of the heart.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670077

Location18500 Katy FreewayHouston, TX 77094 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

96%147 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%91 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

76%254 patients4/55-star benchmark: 99%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%248 patients5/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

72%254 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

22%254 patients2/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

INGRID RODI M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

200 MEDICAL PLZ, 202
LOS ANGELES, CA 90095

Los Angeles County (310) 794-7274

ARIE BELLDEGRUN MD

Urology

200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095

Los Angeles County (310) 794-7700

JOEL AVRAM SERCARZ MD

Otolaryngology

200 MEDICAL PLZ, #550
LOS ANGELES, CA 90095

Los Angeles County (310) 206-6688

ROBERT KAIDA CHIN MD, PHD

Radiology (Radiation Oncology)

200 MEDICAL PLZ, SUITE B265
LOS ANGELES, CA 90095

Los Angeles County (310) 301-9775

LAWRENCE ANDREW YEATMAN MD

Internal Medicine (Cardiovascular Disease)

200 MEDICAL PLZ, #365,530,420,120
LOS ANGELES, CA 90095

Los Angeles County (310) 582-6220

HENRY K KAWAMOTO MD

Surgery

200 MEDICAL PLZ, STE 465
LOS ANGELES, CA 90095

Los Angeles County (310) 825-5510

SHARON L HAME MD

Orthopaedic Surgery (Sports Medicine)

200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095

Los Angeles County (310) 319-1234

DR. JOHN N. MAFI M.D.

Internal Medicine

200 MEDICAL PLZ, SUITE 365
LOS ANGELES, CA 90095

Los Angeles County (310) 794-2280

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 Nilesh Mathuria's NPI number?

The NPI number for Nilesh Mathuria is 1962674960. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Nilesh Mathuria located?

Nilesh Mathuria practices at 200 Medical Plz Suite 365C, Los Angeles, CA 90095. The listed phone number is (310) 206-2235.

What is Nilesh Mathuria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nilesh Mathuria enrolled in Medicare?

Yes. Nilesh Mathuria 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 organizations bill Medicare for Nilesh Mathuria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilesh Mathuria reassigns Medicare benefits to 4 organizations: Katy Cardiovascular Services, LP (Houston, TX), Houston Methodist Specialty Physicians (Houston, TX), Texas Heart Rhythm Center, PA (Houston, TX) and Tmh Physician Associates PLLC (Houston, TX). Each 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 Nilesh Mathuria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nilesh Mathuria accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Nilesh Mathuria 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 Nilesh Mathuria affiliated with any hospitals?

According to CMS data, Nilesh Mathuria is affiliated with Houston Methodist Hospital, Houston Methodist Sugarland Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Nilesh Mathuria was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.