DR. PRADEEP MATHUR (MD) – Psychiatry Physician, NPI 1053373159

DR. PRADEEP MATHUR (MD) is a healthcare provider. based in Boardman, Ohio. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 35.05.9651 (OH). The NPI Number for DR. PRADEEP MATHUR (MD) is 1053373159

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRADEEP MATHUR (MD)
NPI
1053373159
Phone
(330) 726-9570
Address
955 WINDHAM CT
Enumeration Date
4 April 2006
Last Update Date
27 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307269570
Graduation Year
1982 (44 years ago)
PAC ID
5890694962
Group Practice PAC ID
6406932144
Professional Enrollment ID
I20080321000029
Address ID
OH445125035BO955XXCTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,244 PSYCHIATRY in OH

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Provider Addresses for DR. PRADEEP MATHUR (MD)

  • 955, Windham Court, Applewood, Boardman, Mahoning County, Ohio, 44512, United States

    SUITE 2

    BOARDMAN, OH 445125035

    Phone: (330) 726-9570

    Fax: (330) 726-9031

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 218 Open Payments records for all available years, with a total value of $3,711.

Total Amount is formed as General ($3,711) + Research ($0) + Ownership ($0) = $3,711.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($893).

Total Amount

$3,711

General + Research + Ownership

Payments

218

Total payment records

General Amount

$3,711

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2008-03-21

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
I20080321000029IPsychiatryOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes19165$0
90837Psychotherapy, 1 hour10611$0
View full utilization report →

Insurance plans in this area (ZIP 44512)

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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: 6406932144View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Nurse PractitionerOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

How do I look up DR. PRADEEP MATHUR (MD) by NPI?
Use NPI 1053373159 when you need to reference DR. PRADEEP MATHUR (MD) in forms, claims, or directories.
Does this profile mean DR. PRADEEP MATHUR (MD) is currently active?
Yes — DR. PRADEEP MATHUR (MD) appears active in the national provider directory.
Does DR. PRADEEP MATHUR (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. PRADEEP MATHUR (MD). Clinical services aligned with this taxonomy classification.
Where is DR. PRADEEP MATHUR (MD)'s primary listing?
We display Boardman, Ohio because that is what the record indicates for DR. PRADEEP MATHUR (MD).
What if Boardman, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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