ABHAY MATHUR (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1649732702

ABHAY MATHUR (MD) is a healthcare provider. based in Johnston, Rhode Island. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. MD20562 (RI). The NPI Number for ABHAY MATHUR (MD) is 1649732702

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ABHAY MATHUR (MD)
NPI
1649732702
Phone
(401) 729-2800
Address
1539 Atwood Ave Ste 203
Enumeration Date
5 April 2019
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
1153837307
Group Practice PAC ID
0244413391
Professional Enrollment ID
I20250723002684
Address ID
RI028862759WA455XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

182 ORTHOPEDIC SURGERY in RI

Provider Addresses for ABHAY MATHUR (MD)

  • 1539 Atwood Ave Ste 203

    Johnston, RI 029193262

    Phone: (401) 729-2800

    Fax: (401) 729-2877

    Type: Location

  • 100 Butler Dr

    Providence, RI 029064862

    Phone: (401) 729-2800

    Fax: (401) 729-2877

    Type: Location

  • H B Burns Memorial Building, 2150, Pennsylvania Avenue Northwest, Washington, Washington, D.C., 20006, United States

    WASHINGTON, DC 200373201

    Phone:

    Type: Mailing

  • 1405 S County Trl Ste 510

    East Greenwich, RI 028185097

    Phone: (401) 729-2800

    Fax: (401) 921-6161

    Type: Location

  • 101 Plain St Ste 4

    Providence, RI 029034829

    Phone: (401) 729-2800

    Fax: (401) 729-2877

    Type: Location

  • 455 TOLL GATE RD

    PRC AND CREDENTIALING

    WARWICK, RI 028862759

    Phone: (401) 273-0641

    Fax: (401) 273-2919

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Baxter Healthcare ($146).

Total Amount

$224

General + Research + Ownership

Payments

2

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2025-07-23

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
I20250723002684IOrthopedic SurgeryRITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02919)

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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: 0244413391View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YRI
Internal MedicineRI
Physician AssistantRI
A N E S T H E S I O L O G YRI
A N E S T H E S I O L O G YRI
Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology)RI
Cardiovascular Disease (Cardiology)MA
Internal Medicine, Pulmonary Disease, Pulmonary DiseaseMA
O B S T E T R I C S/ G Y N E C O L O G YNY
-RI

Reviews

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Frequently asked questions

What unique ID ties claims to ABHAY MATHUR (MD)?
NPI 1649732702 is assigned to ABHAY MATHUR (MD) under the national enumeration system.
Is ABHAY MATHUR (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ABHAY MATHUR (MD) treat or focus on?
Patients typically see ABHAY MATHUR (MD) under the specialty Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Does ABHAY MATHUR (MD) practice in Rhode Island?
You will see Johnston, Rhode Island on file for ABHAY MATHUR (MD) alongside any extra practice locations.
What if Johnston, Rhode Island seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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