Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prem Mathai, MD

Individual provider Neurology Physician · NPI 1518192780

Prem Mathai, MD is a Neurology in Newark, Ohio. Qualified in 2009, 17 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 McMillen Dr
Newark, OH 43055-1811
Phone: (220) 564-7985
Fax: (220) 564-7986
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 35.125013 (OH)

Record details

NPI number1518192780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2009
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address150 McMillen Dr, Newark, OH 43055-1811

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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