Manu Mathews, M.D

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

Q1450 Issued in TX

Practice address

3345 Western Center Blvd Ste 160
Fort Worth, TX 76137-1938

Phone

(817) 381-9650

Fax

(817) 585-5836

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Pain ManagementAlso: Addiction Medicine, Psychiatry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Invicta Healthcare PLLCGroup PAC ID 5698016301, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmathews1538619@direct.texashealth.org

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.

• Invicta Healthcare PLLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Fort Worth, TX
  • NPI 1740635143
  Medicare reassignment Care Compare group NPD
• A1B Healthcare

  • Specialist
  • Southlake, TX
  • NPI 1114488327
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1346457751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 WESTERN CENTER BLVD STE 160",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371938",
            "telephone_number": "817-381-9650",
            "fax_number": "817-585-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 WESTERN CENTER BLVD STE 160",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371938",
            "telephone_number": "817-381-9650",
            "fax_number": "817-585-5836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 E Southlake Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760921483",
            "country_code": "US",
            "telephone_number": "817-381-9650",
            "fax_number": "817-585-5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "MANU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.089741",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "OH",
            "license": "35.089741",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "Q1450",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "TX",
            "license": "Q1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Thomas Mathew, DMD
• John Mathew
• Lisa Philip Mathew, NP-C
• Stacy Elizabeth Mathew, PHARMD
• Joel Mathews, DO
• Marvin S. Mathews, LMFT
• Matoya Mathews
• Stephen Mathews, REGISTERED NURSE
• Wendy Mathews
• Crystal Lea Mathis, RN, MSN, WHNP

• Pain Medicine (Psychiatry & Neurology) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.