Active NPI
Antony J Mathew
- Gastroenterology Physician
- Southlake, TX
National Provider Identifier
1376172361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- U3939
- Practice address
- 421 E State Highway 114
Southlake, TX 76092-3635 - Phone
- (682) 335-2000
- NPI assigned
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | U3939 | TX | Primary |
Addresses
Primary practice location
421 E State Highway 114
Southlake, TX 76092-3635
Mailing address
421 E State Highway 114
Southlake, TX 76092-3635
Phone (682) 335-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U3939 | TX | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1376172361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 E STATE HIGHWAY 114",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923635",
"telephone_number": "682-335-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 E STATE HIGHWAY 114",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923635",
"telephone_number": "682-335-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ANTONY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "U3939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.