DR. GAGAN MATHUR (MD, MBA) – Blood Banking & Transfusion Medicine Physician, NPI 1386999175

DR. GAGAN MATHUR (MD, MBA) is a healthcare provider. based in Kansas city, Missouri. specializing in PATHOLOGY. They hold the professional credentials MD, MBA. They hold a License No. MD-42245 (IA). The NPI Number for DR. GAGAN MATHUR (MD, MBA) is 1386999175

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAGAN MATHUR (MD, MBA)
NPI
1386999175
Phone
(816) 502-8756
Address
901 E 104TH ST.
Enumeration Date
17 July 2012
Last Update Date
14 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144567004
Graduation Year
2010 (16 years ago)
PAC ID
4587807581
Group Practice PAC ID
1951201185
Professional Enrollment ID
I20210106000193
Address ID
CA928683201OR101XXSXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

406 PATHOLOGY in MO

Provider Addresses for DR. GAGAN MATHUR (MD, MBA)

  • 901 E 104TH ST.

    MAILSTOP 400N

    KANSAS CITY, MO 641319712

    Phone: (816) 502-8756

    Fax: (816) 932-9670

    Type: Mailing

  • 4401 WORNALL ROAD

    KAN, MO 64111

    Phone: (816) 932-0340

    Fax: (816) 932-3148

    Type: Location

  • 4650 W SUNSET BLVD

    LOS ANGELES, CA 900276062

    Phone: (232) 361-8475

    Fax: (816) 932-9670

    Type: Mailing

  • 4650 W SUNSET BLVD # 32

    LOS ANGELES, CA 900276062

    Phone: (323) 361-8475

    Fax: (816) 932-9670

    Type: Location

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-7002

    Type: Location

  • 4650 W Sunset Blvd # 32

    Los Angeles, CA 900276062

    Phone: (323) 361-8475

    Fax: (816) 932-9670

    Type: Location

  • 200 Hawkins Dr

    Iowa City, IA 522421009

    Phone: (319) 356-0333

    Fax: (319) 356-2987

    Type: Location

  • 4401 Wornall Road

    Kan, MO 64111

    Phone: (816) 932-0340

    Fax: (816) 932-3148

    Type: Location

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-2986

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,104.

Total Amount is formed as General ($1,104) + Research ($0) + Ownership ($0) = $1,104.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: HemoSonics LLC ($479).

Total Amount

$1,104

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210106000193IPathologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
86077Blood bank physician services for cross match and/or evaluation and written report2424$0
View full utilization report →

Insurance plans in this area (ZIP 64131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951201185View full group profile
NameSpecialtyState
-CA
Hematology, PathologyCA
-CA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YMO
P A T H O L O G YCA
P A T H O L O G YCA

Reviews

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Frequently asked questions

Does DR. GAGAN MATHUR (MD, MBA) have a public NPI I can cite?
Public records show DR. GAGAN MATHUR (MD, MBA) under NPI 1386999175.
Is DR. GAGAN MATHUR (MD, MBA) currently accepting referrals based on NPI status?
Registry metadata lists DR. GAGAN MATHUR (MD, MBA) as active.
What type of care does DR. GAGAN MATHUR (MD, MBA) provide?
DR. GAGAN MATHUR (MD, MBA)'s profile centers on Blood Banking & Transfusion Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. GAGAN MATHUR (MD, MBA)?
DR. GAGAN MATHUR (MD, MBA) is associated with Kansas City, Missouri in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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