Dr. Ajay Mathew
- Gender: Male
- Experience: 10 years
- Graduation year: 2011
- Sole propriator: No
- NPI: 1346528296
Dr. Ajay Mathew D.O.
Nephrologist
He is located at 36763 Eiland Boulevard Suite 103 in Zephyrhills, FL 33542. Can help patients with the following: Asthma, Bladder Control, Common Cold, Diarrhea, Kidney Failure, Obesity. His National Provider Identifier (NPI) number is 1346528296. Appointment can be made via the phone number (813) 994-3389. He is affiliated with 3 practices and 5 hospitals.
Conditions treated
Dr. Ajay Mathew, being an nephrologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Ajay Mathew.
- Abdominal Pain
- Acute Pain
- Anemia
- Arthritis
- Asthma
- Atherosclerosis
- Bladder Control
- Blood in Urine
- Chest Pain
- Cholecystitis
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Constipation
- Cystitis
- Diarrhea
- Edema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Gout
- Headache
- Heart Disease
- Hemolytic Uremic Syndrome (HUS)
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hydronephrosis
- Hypercalcemia
- Hyperkalemia
- Hyperlipidemia
- Hyperparathyroidism
- Hyponatremia
- Influenza
- Inguinal Hernia
- Kidney Cancer
- Kidney Failure
- Kidney Infection
- Kidney Stones
- Low Blood Pressure
- Low Potassium
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Polycystic Kidney Disease (PKD)
- Prescription Refill
- Rhabdomyolysis
- Urethritis
- Urinary Tract Infection (UTI)
- Vitamin D Deficiency
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Ajay Mathew as in-network for the following 2026 plans.
Health plans
AmeriHealth Caritas Next
Network data as of Sep 11, 2026, as reported by the insurer.
Show all 8 plans from AmeriHealth Caritas Next
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| AmeriHealth Caritas Next Bronze Essential + No Referrals | HMO · Bronze | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | HMO · Expanded Bronze | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | HMO · Expanded Bronze | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Gold Premier + No Referrals | HMO · Gold | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Gold Signature + No Referrals | HMO · Gold | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Silver Essential + No Referrals | HMO · Silver | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Silver Premier + No Referrals | HMO · Silver | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Silver Signature + No Referrals | HMO · Silver | Preferred | Accepting new patients |
AvMed
Network data as of Aug 31, 2026, as reported by the insurer.
Show all 14 plans from AvMed
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| AvMed Entrust Bronze 600 (2026) (5 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| AvMed Entrust Bronze 650 (2026) (5 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| AvMed Entrust Expanded Bronze Standard (2026) (5 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| AvMed Entrust Gold 125 (2026) (5 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| AvMed Entrust Gold 125 Dental+Vision (2026) (5 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| AvMed Entrust Gold Standard (2026) (5 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| AvMed Entrust Platinum 25 (2026) (3 plan variants) | HMO · Platinum | Preferred | Accepting new patients |
| AvMed Entrust Platinum 25 Dental+Vision (2026) (3 plan variants) | HMO · Platinum | Preferred | Accepting new patients |
| AvMed Entrust Platinum Standard (2026) (3 plan variants) | HMO · Platinum | Preferred | Accepting new patients |
| AvMed Entrust Silver 350 (2026) (5 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| AvMed Entrust Silver 350 Dental+Vision (2026) (5 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| AvMed Entrust Silver 550 (2026) (5 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| AvMed Entrust Silver 550 Dental+Vision (2026) (5 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| AvMed Entrust Silver Standard (2026) (5 plan variants) | HMO · Silver | Preferred | Accepting new patients |
Cigna Healthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 26 plans from Cigna Healthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Connect Bronze Mid-South 0 Indiv Med Deductible | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze Mid-South 5500 Indiv Med Deductible | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze Mid-South CMS Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze Orlando 3000 Indiv Med Deductible | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze Orlando 6000 Indiv Med Deductible | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze Orlando CMS Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze South FL 3800 Indiv Med Deductible | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze South FL 7000 Indiv Med Deductible | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze South FL CMS Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Gold Mid-South 2250 Indiv Med Deductible | EPO · Gold | Preferred | Accepting new patients |
| Connect Gold Mid-South 850 Indiv Med Deductible | EPO · Gold | Preferred | Accepting new patients |
| Connect Gold Mid-South CMS Standard | EPO · Gold | Preferred | Accepting new patients |
| Connect Gold Orlando 1500 Indiv Med Deductible | EPO · Gold | Preferred | Accepting new patients |
| Connect Gold Orlando CMS Standard | EPO · Gold | Preferred | Accepting new patients |
| Connect Gold South FL 1500 Indiv Med Deductible | EPO · Gold | Preferred | Accepting new patients |
| Connect Gold South FL CMS Standard | EPO · Gold | Preferred | Accepting new patients |
| Connect myDiabetesCare Bronze Mid-South | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Silver Mid-South 3800 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver Mid-South 4500 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver Mid-South CMS Standard | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver Orlando 3500 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver Orlando 5000 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver Orlando CMS Standard | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver South FL 2850 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver South FL 4500 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver South FL CMS Standard | EPO · Silver | Preferred | Accepting new patients |
Cigna HealthCare of Florida, Inc.
Network data as of Sep 15, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Partnered Care Classic Silver | HMO · Silver | Preferred | Accepting new patients |
| Partnered Care Gold CMS Standard | HMO · Gold | Preferred | Accepting new patients |
| Partnered Care Premier Gold | HMO · Gold | Preferred | Accepting new patients |
| Partnered Care Premier Silver | HMO · Silver | Preferred | Accepting new patients |
| Partnered Care Silver CMS Standard | HMO · Silver | Preferred | Accepting new patients |
Oscar Health Maintenance Organization of Florida
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 7 plans from Oscar Health Maintenance Organization of Florida
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic Standard | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic Standard | HMO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | HMO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 17 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential- ($0 Virtual Urgent Care) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard+ (Dental + Vision) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard+ (Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard- | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Ajay Mathew is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Ajay Mathew is enrolled to bill Medicare as a Practitioner - Nephrology (also registered under: Practitioner - Internal Medicine) .
Bills through: Florida Medical Clinic Llc
Based on Medicare's public enrollment records as of Sep 29, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Mallinckrodt | $207 |
| OPKO Pharmaceuticals | $74 |
| Daiichi Sankyo | $48 |
Other
| Food and Beverage | $575 |
Studies
Graduated in 2011Additional Specialities
- Internist
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Questions & Answers
Where can you meet with Dr. Ajay Mathew?
Dr. Ajay Mathew's office is located at 36763 Eiland Boulevard Suite 103 in Zephyrhills, FL 33542.
Does Dr. Ajay Mathew accept insurance?
Dr. Ajay Mathew is listed in-network for 77 ACA Marketplace (Obamacare/HealthCare.gov) plans from AmeriHealth Caritas Next, AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida, UnitedHealthcare. See the Marketplace plans section for details.
Has Dr. Ajay Mathew affiliation with hospitals?
Dr. Ajay Mathew is affiliated with ST JOSEPHS HOSPITAL. For the full list of hospitals see this list.
Does Dr. Ajay Mathew have affiliation with practices?
Dr. Ajay Mathew is affiliated with Florida Medical Clinic. For the full list of practices see this list.
What conditions does Dr. Ajay Mathew treat?
Dr. Ajay Mathew provides treatment for Asthma, Bladder Control, Common Cold, Diarrhea, Kidney Failure, Obesity. For the full list see this list.