Active NPI
Koshy Mathews Mathai, M.D.
- Interventional Pain Medicine Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- P4350
- Practice address
- 7215 Wyoming Springs Dr Ste 200
Round Rock, TX 78681-4314 - Phone
- (504) 231-2833
- NPI assigned
- Apr 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MT188551 | PA | |
| Anesthesiology Physician | 207L00000X | MD-439805 | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD 204524 | LA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25084 | WV | |
| Interventional Pain Medicine Physician | 208VP0014X | P4350 | TX | Primary |
Addresses
Primary practice location
7215 Wyoming Springs Dr Ste 200
Round Rock, TX 78681-4314
Mailing address
7215 Wyoming Springs Dr Ste 200
Round Rock, TX 78681-4314
Phone (504) 231-2833
Other practice location 1
717 Generations Dr Ste B
New Braunfels, TX 78130-0009
Phone (844) 789-7246
Other practice location 2
4544 S LaMar Blvd Ste 740
Austin, TX 78745-1500
Phone (844) 789-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Texas Southwestern Medical School at Dallas, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7215 Wyoming Springs Dr
Suite 200
Round Rock, TX 78681-4314
Phone (844) 789-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-439805 | PA | MD | Anesthesiology Physician |
| MT188551 | PA | MD | Anesthesiology Physician |
| MD 204524 | LA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tricity Pain Associates PA | Interventional Pain Medicine | Current | Accepting new patients |
| Tricity Pain Associates PA | Anesthesiology | Current | Accepting new patients |
Locations
4544 S Lamar Blvd
Ste 740
Austin, TX 78745
Phone (512) 386-1166
717 Generations Dr
Ste B
New Braunfels, TX 78130
Phone (830) 264-8189
7215 Wyoming Springs Dr
Ste 200
Round Rock, TX 78681
Phone (512) 244-3755
110 Stone Oak Loop
Ste 103
San Antonio, TX 78258
Phone (210) 268-0156
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Phase 4 Physiotherapy
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1619244720
Anesthesiology
-
- Pain Medicine (Anesthesiology) Physician
- Killeen, TX
- NPI 1689800419
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1235016486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1568606408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 WYOMING SPRINGS DR STE 200",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814314",
"telephone_number": "504-231-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7215 WYOMING SPRINGS DR STE 200",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814314",
"telephone_number": "504-231-2833"
}
],
"practiceLocations": [
{
"address_1": "717 Generations Dr Ste B",
"address_purpose": "LOCATION",
"city": "New Braunfels",
"state": "TX",
"postal_code": "781300009",
"country_code": "US",
"telephone_number": "844-789-7246",
"fax_number": "888-880-9323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4544 S LaMar Blvd Ste 740",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787451500",
"country_code": "US",
"telephone_number": "844-789-7246",
"fax_number": "888-880-9323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHAI",
"first_name": "KOSHY",
"middle_name": "MATHEWS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-22",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MT188551",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD-439805",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "LA",
"license": "MD 204524",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WV",
"license": "25084",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "P4350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.
- 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.