Mathew Mathai, M.D.
NPI 1104854363 · Pulmonary Disease Physician · Cudahy, WI
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mathew Mathai, M.D. is a Pulmonary Disease Physician provider in Cudahy, WI (NPI 1104854363).
Provider details
- NPI number
- 1104854363
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 45983 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,482 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 466 | $73 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 189 | $118 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 159 | $90 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 132 | $15 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 132 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 471 | 95 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 432 | 161 |
| Montelukast Sodium | 161 | 42 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 151 | 43 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 150 | 29 |
| Prednisone | 124 | 58 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,793 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2012-12-05
Frequently asked questions
- What is Mathew Mathai's NPI number?
- Mathew Mathai's National Provider Identifier (NPI) is 1104854363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mathew Mathai's specialty?
- Mathew Mathai is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mathew Mathai located?
- Mathew Mathai's practice location on file with NPPES is 5900 S. Lake Dr., Cudahy, WI 53110.
- What is Mathew Mathai's phone number?
- The practice phone number listed in the NPPES registry for Mathew Mathai is (414) 744-4000.
- Does Mathew Mathai accept Medicare?
- Mathew Mathai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mathew Mathai's NPI active?
- Yes — Mathew Mathai's NPI (1104854363) is active in the NPPES registry as of the last update on 2012-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.