Organization Active NPI

Sunil Mathews, M.D., P.a.

  • Neurology Physician
  • Irving, TX
National Provider Identifier
1356470454
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SUNIL MATHEWS, M.D., P.A.
Practice address
440 W Lyndon B Johnson Fwy
Plaza II, Suite 225
Irving, TX 75063-3707
Phone
(972) 869-3448
Fax
(972) 869-9915
NPI assigned
Mar 5, 2007
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Sunil Mathews, MDNPI 1255437067
Title
President
Phone
(972) 869-3448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

440 W Lyndon B Johnson Fwy
Plaza II, Suite 225
Irving, TX 75063-3707

Mailing address

440 W Lyndon B Johnson Fwy
Plaza II, Suite 225
Irving, TX 75063-3707
Phone (972) 869-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000163 TX Part B Supplier - Clinic/Group Practice 3173506268 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory
Tax ID family
Sunil Mathews MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

440 W Lyndon B Johnson Fwy
Ste 225
Irving, TX 75063
Phone (972) 251-1519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1356470454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W LYNDON B JOHNSON FWY",
            "address_2": "PLAZA II, SUITE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "972-869-3448",
            "fax_number": "972-869-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W LYNDON B JOHNSON FWY",
            "address_2": "PLAZA II, SUITE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "972-869-3448",
            "fax_number": "972-869-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL MATHEWS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-869-3448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.