DR. MADHU MATHUR MD NPI 1235142100

NPI Information

NPI: 1235142100
Provider Name: DR. MADHU MATHUR, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2777 SUMMER ST
STE 604
STAMFORD, CT
ZIP 06905
Phone: (203) 614-8517
Get Directions

DR. Madhu Mathur, MD is a pediatrics in Stamford, CT. The provider is 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. DR. Madhu Mathur, MD NPI is 1235142100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2777 SUMMER ST
STE 604
STAMFORD, CT
ZIP 06905-318
Phone: (203) 614-8517
Fax: (203) 614-8518

The NPI 1235142100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 4/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		039624	CONNECTICUT	No
2	2083B0002X	Preventive Medicine	Obesity Medicine	221166	NEW YORK	No
3	2083B0002X	Preventive Medicine	Obesity Medicine	039624	CONNECTICUT	No
4	208000000X	Pediatrics		221166	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2079769	OTHER	CONNECTICUT	FIRST HEALTH / CCN
2	797586	OTHER	CONNECTICUT	CONNECTICARE
3	TIN	OTHER		FOCUS
4	TIN	OTHER		CONSUMER HEALTH NETWORK
5	2215002	OTHER	CONNECTICUT	UNITED HEALTHCARE
6	TIN	OTHER		WELLCARE/ FIRST CHOICE
7	5129667	OTHER	CONNECTICUT	CIGNA
8	TIN	OTHER		MULTIPLAN
9	010039624CT01	OTHER	CONNECTICUT	ANTHEM BC/BS
10	507X21	OTHER	CONNECTICUT	EMPIRE BC/BS
11	TIN	OTHER		POMCO
12	2V4390	OTHER	CONNECTICUT	HEALTH NET
13	7916409	OTHER	CONNECTICUT	AETNA
14	P2645508	OTHER	CONNECTICUT	OXFORD HEALTH PLAN
15	TIN	OTHER		PRIVATE HEALTHCARE SYSTEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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