Individual provider Active NPI

Koshy Mathews Mathai, M.D.

  • Interventional Pain Medicine Physician
  • Round Rock, TX
National Provider Identifier
1568606408
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
P4350 Issued in TX
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

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130116000474 WV Practitioner - Physical Medicine and RehabilitationPractitioner - AnesthesiologyPractitioner - Pain Management 7517136880
I20250828000022 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 7517136880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricity Pain Associates, PAGroup PAC ID 9830359181, 19 clinicians

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

LicenseStateTypeSpecialty
MD-439805PAMDAnesthesiology Physician
MT188551PAMDAnesthesiology Physician
MD 204524LAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tricity Pain Associates PA Interventional Pain Medicine CurrentSince Aug 13, 2025 Accepting new patients
Tricity Pain Associates PA Anesthesiology CurrentSince Aug 13, 2025 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.

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

Verify at the official NPI Registry.