Nilesh Mathuria, M.D.
NPI 1962674960 · Cardiovascular Disease Physician · Los Angeles, CA
Enrolled with Medicare as Practitioner - Cardiac Electrophysiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nilesh Mathuria, M.D. is a Cardiovascular Disease Physician provider in Los Angeles, CA (NPI 1962674960).
Provider details
- NPI number
- 1962674960
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- L9801 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 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
2,086 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 446 | $128 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 414 | $14 |
| Evaluation of Implantable Heart and Blood Vessel Monitoring System, Remote Up to 30 Days93297 | 197 | $26 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 135 | $169 |
| Evaluation of Cardiac Rhythm Monitor System, Remote Up to 30 Days93298 | 121 | $34 |
| Evaluation of Single, Dual, Multiple Lead Or Leadless Pacemaker System, Remote Up to 90 Days |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 40 | 23 |
| Minocycline Hcl | 30 | 30 |
| Apixabanbrand: Eliquis | 27 | 17 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,492 across 59 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
- 2008-03-31
- Last updated
- 2010-11-30
Frequently asked questions
- What is Nilesh Mathuria's NPI number?
- Nilesh Mathuria's National Provider Identifier (NPI) is 1962674960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nilesh Mathuria's specialty?
- Nilesh Mathuria is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Nilesh Mathuria located?
- Nilesh Mathuria's practice location on file with NPPES is 200 Medical Plz, Los Angeles, CA 90095-0001.
- What is Nilesh Mathuria's phone number?
- The practice phone number listed in the NPPES registry for Nilesh Mathuria is (310) 206-2235.
- Does Nilesh Mathuria accept Medicare?
- Nilesh Mathuria is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nilesh Mathuria's NPI active?
- Yes — Nilesh Mathuria's NPI (1962674960) is active in the NPPES registry as of the last update on 2010-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.