NIHAR MATHUR
NPI 1972922284
Internal Medicine in Marrero, LA

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072(504) 347-5511 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nihar Mathur NPPES

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

NIHAR MATHUR (NPI 1972922284) is an individual internal medicine provider in Marrero, Louisiana, licensed in Louisiana (306612) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Medical College Of Georgia School Of Medicine (2014).

NPPES Registry Identity

NPI1972922284
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIHAR MATHUR
Location Address1101 MEDICAL CENTER BLVDMarrero, LA 70072-3147
Mailing Address1101 Medical Center BlvdMarrero, LA 70072-3147
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateJuly 31, 2017
NPI 1972922284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · 306612
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.
1101 MEDICAL CENTER BLVD, Marrero, LA 70072

Accepted 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

Nihar Mathur 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 ID5294009437
PECOS Enrollment IDI20170926003946
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 4

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.

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.
309 services105 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services64 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.
58 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70072 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
28%86 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$48.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$14.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers39 claims39 services$60.51 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier17 claims17 services$15.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Registered Nurse (Critical Care Medicine)
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Hospitalist
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Emergency Medicine
1101 MEDICAL CENTER BLVD, EMERGENCY DEPARTMENT
MARRERO, LA 70072
Internal Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Internal Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Student in an Organized Health Care Education/Training Program
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Emergency Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072

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 Nihar Mathur's NPI number?

The NPI number for Nihar Mathur is 1972922284. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Nihar Mathur located?

Nihar Mathur practices at 1101 Medical Center Blvd, Marrero, LA 70072. The listed phone number is (504) 347-5511.

What is Nihar Mathur's specialty?

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

Is Nihar Mathur enrolled in Medicare?

Yes. Nihar Mathur 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.

What insurance does Nihar Mathur accept?

Health plans from HMO Louisiana list Nihar 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.

Is Nihar Mathur affiliated with any hospitals?

According to CMS data, Nihar Mathur is affiliated with University Medical Center New Orleans and West Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Nihar Mathur was last updated on July 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.