Individual provider Active NPI

Matthew George Chellew, MD

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1396515011
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U7181 Issued in TX
Practice address
1900 Barton Springs Rd Unit 5030
Austin, TX 78704-1471
Phone
(512) 828-6997
NPI assigned
Jan 3, 2024
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 U7181 TX Primary

Addresses

Primary practice location

1900 Barton Springs Rd Unit 5030
Austin, TX 78704-1471

Mailing address

2103 E 20TH St Unit B
Austin, TX 78722-2407
Phone (416) 731-4597

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
I20240206002145 TX Practitioner - Emergency Medicine 9335582451 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U7181TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Dec 24, 2023 Accepting new patients
Victoria Emergency Associates LLC Emergency Medicine CurrentSince Dec 24, 2023 Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine CurrentSince Dec 24, 2023 Accepting new patients
Lone Star Emergency Associates, LLC Emergency Medicine Past Accepting new patients
South Texas Hospitalist Associates LLC Past Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

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

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1396515011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E 20TH ST UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787222407",
            "telephone_number": "416-731-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BARTON SPRINGS RD UNIT 5030",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041471",
            "telephone_number": "512-828-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELLEW",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U7181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.