Individual provider Active NPI

Tony Tom Mathew, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1205414125
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U0621 Issued in TX
Practice address
5323 Harry Hines Blvd Ste E4.300
Dallas, TX 75390-7208
Phone
(214) 648-3916
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X U0621 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd Ste E4.300
Dallas, TX 75390-7208

Mailing address

442 Golden Harvest Loop
Cary, NC 27519-9495
Phone (732) 245-4559

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212000979 TX Practitioner - Emergency Medicine 5890144141 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.46 of 100Reported as group
Quality
92.48
Improvement activities
40
Cost
72.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0621TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 7, 2024 Accepting new patients
Victoria Emergency Associates LLC Emergency Medicine CurrentSince Apr 14, 2024 Accepting new patients
Innovative Emergency Physicians of Uptown Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 4

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 4

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1205414125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 GOLDEN HARVEST LOOP",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199495",
            "telephone_number": "732-245-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD STE E4.300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907208",
            "telephone_number": "214-648-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "TONY",
        "middle_name": "TOM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U0621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.