Ajay K Mathur, MD - Medicare Rheumatology in Monongahela, PA

Ajay K Mathur, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Monongahela, Pennsylvania. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Highlands Hospital And Health Center and his current practice location is 1029 Country Club Rd, Suite 203, Monongahela, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 258-9680.

Ajay K Mathur is licensed to practice in Pennsylvania (license number MD039612L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619979002.

Contact Information

Ajay K Mathur, MD
1029 Country Club Rd, Suite 203,
Monongahela, PA 15063-1564
(724) 258-9680
(724) 258-3193

Map and Direction




Physician's Profile

Full NameAjay K Mathur
GenderMale
SpecialityRheumatology
Experience45 Years
Location1029 Country Club Rd, Monongahela, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ajay K Mathur graduated from medical school in 1979
  NPI Data:
  • NPI Number: 1619979002
  • Provider Enumeration Date: 08/15/2005
  • Last Update Date: 06/25/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8426240540
  • Enrollment ID: I20101007001139

Medical Identifiers

Medical identifiers for Ajay K Mathur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619979002NPI-NPPES
0009962610002MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology MD039612L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Monongahela Valley HospitalMonongahela, PAHospital
Uniontown HospitalUniontown, PAHospital
Washington Hospital, TheWashington, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Highlands Hospital And Health Center276946075728

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ajay K Mathur allows following entities to bill medicare on his behalf.
Entity NameHighlands Hospital And Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497362453
PECOS PAC ID: 2769460757
Enrollment ID: O20201130001281

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ajay K Mathur is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ajay K Mathur, MD
506 Athena Dr,
Delmont, PA 15626-1005

Ph: (724) 446-8686
Ajay K Mathur, MD
1029 Country Club Rd, Suite 203,
Monongahela, PA 15063-1564

Ph: (724) 258-9680

Reviews and Comments


Internal Medicine Doctors in Monongahela, PA

Barry L Tonkonow, M.D.
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 1163 Country Club Rd, Melenyzer Pavilion, Monongahela, PA 15063
Phone: 724-292-9404    Fax: 724-292-9155
Varun Dobariya,
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 1029 Country Club Rd Ste 204, Monongahela, PA 15063
Phone: 724-707-6462    Fax: 877-569-3217
Dr. R. G. Krishnan, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Country Club Rd, Monongahela, PA 15063
Phone: 724-258-8040    Fax: 724-258-2410
Ronald A Lutes, D.O.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Stoops Dr Ste 200, Monongahela, PA 15063
Phone: 724-483-4083    Fax: 866-950-7003
Seema Ekbote,
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 1163 Country Club Rd, Monongahela, PA 15063
Phone: 724-258-1841    Fax: 724-258-1646
Surinder K. Aneja, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1163 Country Club Rd, Suite 103, Monongahela, PA 15063
Phone: 724-258-8123    
William Ford Kilpatrick, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 100 Stoops Dr, Suite 280, Monongahela, PA 15063
Phone: 724-565-5393    Fax: 724-565-5946

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.