NPIMap

Individual provider Active NPI

Smitha Mathew

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1154784718
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130390 Issued in TX
Practice address
1605 Skyview Dr
Irving, TX 75060-4711
Phone
(954) 245-9278
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130390 TX Primary

Addresses

Primary practice location

1605 Skyview Dr
Irving, TX 75060-4711

Mailing address

1605 Skyview Dr
Irving, TX 75060-4711
Phone (954) 245-9278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smathew260247@direct.sw.org

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
I20170119000874 TX Practitioner - Nurse Practitioner 5193007565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

5151 Maple Ave
Dallas, TX 75235-8136
Phone (469) 419-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family CurrentSince Jan 25, 2023 Accepting new patients
Dallas County Hospital District CurrentSince Jan 25, 2023 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Healthtexas Provider Network CurrentSince Nov 20, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 20, 2016 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5151 Maple Ave
Dallas, TX 75235
Phone (214) 266-0013

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

2021 N MacArthur Blvd
Ste 210
Irving, TX 75061
Phone (469) 800-1000

Interoperability endpoints

  • Direct secure messaging: smathew316413@direct.phhs.org

Organizations & group practices 6

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

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1154784718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SKYVIEW DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604711",
            "telephone_number": "954-245-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SKYVIEW DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604711",
            "telephone_number": "954-245-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SMITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smathew260247@direct.sw.org",
            "affiliation": "N",
            "address_1": "2021 N MacArthur Blvd Ste 210",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750612210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.