Dr Raj Pratap Mathur, MD - Medicare Internal Medicine in Washington, DC

Dr Raj Pratap Mathur, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Washington, District Of Columbia. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Capital Internal Medicine And Geriatrics Llc and his current practice location is 106 Irving St Nw Ste 211, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 722-0149.

Dr Raj Pratap Mathur is licensed to practice in District Of Columbia (license number MD19927) 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 1992864177.

Contact Information

Dr Raj Pratap Mathur, MD
106 Irving St Nw Ste 211,
Washington, DC 20010-2993
(202) 722-0149
Not Available

Map and Direction




Physician's Profile

Full NameDr Raj Pratap Mathur
GenderMale
SpecialityInternal Medicine
Experience46 Years
Location106 Irving St Nw Ste 211, Washington, District Of Columbia
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:
  • Dr Raj Pratap Mathur graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1992864177
  • Provider Enumeration Date: 12/06/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517852437
  • Enrollment ID: I20040219000345

Medical Identifiers

Medical identifiers for Dr Raj Pratap Mathur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992864177NPI-NPPES
0402333OtherUNITED HEALTHCARE
54357601OtherMDBCBS
522004721OtherALLIANCE PPO
68766OtherAMERIGROUP
7133432OtherAETNA PPO
40840001OtherDCBCBS
090902501MedicaidMD
010371400MedicaidDC
865068OtherMDIPA
2241948OtherDCAETNA DC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 0101054105 (Virginia)Secondary
207RG0300XInternal Medicine - Geriatric Medicine D0042403 (Maryland)Secondary
207RG0300XInternal Medicine - Geriatric Medicine MD19927 (District Of Columbia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medstar Washington Hospital CenterWashington, DCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Internal Medicine And Geriatrics Llc52940879382

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. Dr Raj Pratap Mathur allows following entities to bill medicare on his behalf.
Entity NameCapital Internal Medicine & Geriatrics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104325760
PECOS PAC ID: 5294087938
Enrollment ID: O20181009000677

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. Dr Raj Pratap 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
Dr Raj Pratap Mathur, MD
10218 Yearling Dr,
Rockville, MD 20850-3548

Ph: (240) 252-4008
Dr Raj Pratap Mathur, MD
106 Irving St Nw Ste 211,
Washington, DC 20010-2993

Ph: (202) 722-0149

Reviews and Comments


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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.