Reese Alfred Mathieu IV, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R1822 Issued in TX

Practice address

3601 Northstar Rd
Richardson, TX 75082-2608

Phone

(972) 235-0385

Fax

(972) 235-3859

NPI assigned

Apr 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmathieu85044@direct.childrens.com

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.

• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Mathieu Pediatrics PLLC

  • Pediatrics Physician
  • Richardson, TX
  • NPI 1326522160
  NPD (past) Authorized official
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Pediatrics Physician
  • Plano, TX
  • NPI 1598789984
  NPD

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1528486123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NORTHSTAR RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822608",
            "telephone_number": "972-235-0385",
            "fax_number": "972-235-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NORTHSTAR RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822608",
            "telephone_number": "972-235-0385",
            "fax_number": "972-235-3859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Boulevard",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-456-2844",
            "fax_number": "214-456-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "REESE",
        "middle_name": "ALFRED",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R1822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Masters
• Danielle Mathews, OTR
• Reju Mathews
• Mathieu Pediatrics PLLC
• Reese A. Mathieu III, M.D.
• Mathis Therapy - a Therapy Connection, LLC (A Therapy Connection)
• Andrea Renee Mathis
• Downie Bushey Mathis, M.S. CCC-SLP, BCBA
• Matrix Rehabilitation- Texas, Inc (MATRIX Orthopedic and Sports Therapy)
• Matrix Rehabilitation-Texas, Inc. (MATRIX Rehabilitation of Garland)

• Pediatrics Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.

Verify at the official NPI Registry.