Active NPI
Tinu Mary Mathew, CRNA
- Certified Registered Nurse Anesthetist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 649563
- Practice address
- 8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862 - Phone
- (512) 343-2292
- Fax
- (512) 343-2745
- NPI assigned
- Dec 12, 2007
- Last updated
- Aug 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 649563 | TX | Primary |
Addresses
Primary practice location
8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862
Mailing address
3004 Wood Springs LN
Round Rock, TX 78681-3909
Phone (512) 238-1156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1954372-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 W Louis Henna Blvd
Austin, TX 78681-2301
Phone (512) 248-7000
2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 341-5295
919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Anesthesiology Group PLLC | Current | Accepting new patients | |
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1111 W 34th St
Austin, TX 78705
Phone (512) 324-3414
1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000
12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005
8140 N Mopac Expy
Bldg 3
Austin, TX 78759
Phone (512) 343-2292
8140 N Mopac Expy
Ste 3210
Austin, TX 78759
Phone (512) 343-2292
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
16030 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 246-8777
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
-
dba Round Rock Medical Center
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1437332590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 WOOD SPRINGS LN",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813909",
"telephone_number": "512-238-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8140 N MOPAC EXPY STE 3-210",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598862",
"telephone_number": "512-343-2292",
"fax_number": "512-343-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "TINU",
"middle_name": "MARY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "649563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1954372-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.