Individual provider Active NPI

Spencer Christopher Mathews, DPM

  • Podiatrist
  • The Woodlands, TX
National Provider Identifier
1629530647
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3164 Issued in TX
Practice address
25511 Budde Rd Ste 3701
The Woodlands, TX 77380-4173
Phone
(281) 348-2166
Fax
(281) 358-2153
NPI assigned
Apr 1, 2019
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 3164 TX Primary

Addresses

Primary practice location

25511 Budde Rd Ste 3701
The Woodlands, TX 77380-4173

Mailing address

245 FM 1488 Rd
Conroe, TX 77384-3983
Phone (330) 206-6570

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815002201 TX Practitioner - Podiatry 4587047188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason C Miller DPM PAGroup PAC ID 5294751871, 8 clinicians

Practice addresses (Care Compare)

25511 Budde Rd
The Woodlands, TX 77380-2080
Phone (281) 348-2166

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue17
Removal of nail tissue147
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason C Miller DPM PA Podiatrist CurrentSince Aug 1, 2022 Accepting new patients
Advanced Foot Centre, PA Podiatrist PastSince Dec 13, 2022 Accepting new patients

Locations

1330 Kingwood Dr
#200
Kingwood, TX 77339
Phone (281) 348-2166

22999 Highway 59 N
Ste 264
Kingwood, TX 77339
Phone (281) 312-6457

25511 Budde Rd
Ste 3701
The Woodlands, TX 77380
Phone (281) 348-2166

Interoperability endpoints

  • Direct secure messaging: smathews47585@memorialhermann.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1629530647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 FM 1488 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843983",
            "telephone_number": "330-206-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 3701",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804173",
            "telephone_number": "281-348-2166",
            "fax_number": "281-358-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "SPENCER",
        "middle_name": "CHRISTOPHER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.