Active NPI
Naomi Elizabeth Mathew, M.D.
- Pulmonary Disease Physician
- Harker Heights, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- Q9435
- Practice address
- 850 W Central Texas Expy
Harker Heights, TX 76548-1890 - Phone
- (254) 618-1090
- NPI assigned
- Aug 3, 2010
- Last updated
- Dec 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301097145 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Q9435 | TX | |
| Pulmonary Disease Physician | 207RP1001X | Q9435 | TX | Primary |
Addresses
Primary practice location
850 W Central Texas Expy
Harker Heights, TX 76548-1890
Mailing address
804 Copper Ridge Loop
Temple, TX 76502-5099
Other practice location 1
138 Service Rd
A225 Clinical Center
East Lansing, MI 48824-1376
Phone (517) 353-4941
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372079909 | Medicaid | TX | |
| 8LQ106 | Other | TX | BCBS |
| 861926 | Other | TX | MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301097145 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Critical Care Medicine | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Critical Care Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Care Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1447435805
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Round Rock, TX
- NPI 1548445596
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1376857292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 COPPER RIDGE LOOP",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765025099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W CENTRAL TEXAS EXPY",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765481890",
"telephone_number": "254-618-1090"
}
],
"practiceLocations": [
{
"address_1": "138 Service Rd",
"address_2": "A225 Clinical Center",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488241376",
"country_code": "US",
"telephone_number": "517-353-4941",
"fax_number": "517-432-3145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEW",
"first_name": "NAOMI",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301097145",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "Q9435",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "Q9435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372079909",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8LQ106",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "861926",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.