Star Solace Medical PLLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

STAR SOLACE MEDICAL PLLC

Practice address

5605 FM 423 Ste 500-355
Frisco, TX 75036-8960

Phone

(602) 702-4660

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Biju Mathew, MDNPI 1700170867

Title

Owner

Phone

(602) 702-4660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Biju Benny Mathew, M.D

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1700170867
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1437856325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 FM 423 STE 500-355",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 FM 423 STE 500-355",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368960",
            "telephone_number": "602-702-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SOLACE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "BIJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-702-4660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700170867",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tanner Starkey
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• Taylor Addison Starks
• Starlight Behavioral Health and Recovery LLC

• Hospice and Palliative Medicine (Internal Medicine) Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.