NPIMap

Individual provider Active NPI

Jefy M Mathew, MD

  • Pulmonary Disease Physician
  • The Woodlands, TX
National Provider Identifier
1083602080
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L7034 Issued in TX
Practice address
1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3240
Phone
(281) 296-8788
Fax
(281) 419-1291
NPI assigned
Oct 12, 2005
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X L7034 TX
Pulmonary Disease Physician 207RP1001X L7034 TX Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X L7034 TX

Addresses

Primary practice location

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3240

Mailing address

22710 Professional Dr
Ste 102
Kingwood, TX 77339-6009
Phone (281) 296-8788

Other identifiers 2

IdentifierTypeStateIssuer
160208801MedicaidTX
16028802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040409000038 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3072507482 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Baylor College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3477
Phone (281) 296-8788

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

8845 Six Pines Dr
Suite 203
Shenandoah, TX 77380-4296
Phone (281) 296-8788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as individual
Quality
85
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L7034TXMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physicians Association, PLLC Pulmonary Disease CurrentSince Sep 1, 2014 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Mar 1, 2025 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Millennium Physicians Association PLLC CurrentSince Sep 1, 2014 Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

20207 Chasewood Park Dr
Ste 201
Houston, TX 77070
Phone (281) 893-3831

20207 Chasewood Park Dr
Ste 203
Houston, TX 77070
Phone (281) 537-6300

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

800 Peakwood Dr
Ste 4C
Houston, TX 77090
Phone (281) 444-3181

22710 Professional Dr
Ste 102
Kingwood, TX 77339

22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

18488 Interstate 45 S
Shenandoah, TX 77384
Phone (281) 315-8130

8845 Six Pines Dr
Ste 202
Shenandoah, TX 77380

8845 Six Pines Dr
Ste 203
Shenandoah, TX 77380

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jefy.mathew.3@8042.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Luke's the Woodlands HospitalThe Woodlands, TX, CCN 45T862 Hospital Corporate Director Jun 12, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1083602080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR",
            "address_2": "STE 102",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396009",
            "telephone_number": "281-296-8788",
            "fax_number": "281-419-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR",
            "address_2": "SUITE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803240",
            "telephone_number": "281-296-8788",
            "fax_number": "281-419-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JEFY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L7034",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L7034",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "L7034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160208801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16028802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.