VIN MATHUR (MD) – Neuroradiology Physician, NPI 1871694810

VIN MATHUR (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. T2006029715 (MO). The NPI Number for VIN MATHUR (MD) is 1871694810

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
VIN MATHUR (MD)
NPI
1871694810
Phone
(314) 977-9853
Address
1402 S Grand Blvd Rm M260
Enumeration Date
25 September 2006
Last Update Date
3 May 2019

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
2093342590
Graduation Year
2001 (25 years ago)
PAC ID
2860708781
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20200914002550
Address ID
CA952405119LO924XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

Provider Addresses for VIN MATHUR (MD)

  • 1402 S Grand Blvd Rm M260

    Saint Louis, MO 631041004

    Phone: (314) 977-9853

    Fax: (314) 977-1011

    Type: Location

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States

    BURR RIDGE, IL 605274503

    Phone: (773) 702-1150

    Type: Mailing

  • Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States

    MAIL CODE 2026

    CHICAGO, IL 606371443

    Phone: (773) 834-9980

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-09-14

PECOS data refreshed: 2026-06-15

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
I20200914002550IDiagnostic RadiologyCATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml13,418136$0
A9585Injection, gadobutrol, 0.1 ml9,739105$0
77080Dxa bone density measurement of hip, pelvis, spine336336$0
71046X-ray of chest, 2 views193190$0
70450Ct scan head or brain without contrast173167$0
View full utilization report →

Insurance plans in this area (ZIP 63104)

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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: 9830094515View full group profile

Reviews

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Frequently asked questions

What identifier follows VIN MATHUR (MD) across health systems?
The NPI 1871694810 uniquely identifies VIN MATHUR (MD) in U.S. healthcare data.
Does the public listing show VIN MATHUR (MD) as active?
VIN MATHUR (MD)'s NPI record reflects an active status in NPPES.
What does the directory say VIN MATHUR (MD) does?
Insurance directories may phrase it differently, but here VIN MATHUR (MD) maps to Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to VIN MATHUR (MD)?
The directory associates VIN MATHUR (MD) with Saint Louis, Missouri. Check all listed addresses for suites or satellite offices.
Who maintains VIN MATHUR (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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