NPIMap

Individual provider Active NPI

Biju Benny Mathew, M.D

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1700170867
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S7496 Issued in TX
Practice address
6913 Camp Bowie Blvd Ste 171
Fort Worth, TX 76116-7165
Phone
(817) 731-6121
Fax
(817) 732-8015
NPI assigned
Jun 7, 2011
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49383 AZ
Internal Medicine Physician 207R00000X S7496 TX Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X S7496 TX

Addresses

Primary practice location

6913 Camp Bowie Blvd Ste 171
Fort Worth, TX 76116-7165

Mailing address

5605 FM 423, Ste 500- 355
Frisco, TX 75036-8960
Phone (817) 731-6121

Other identifiers 1

IdentifierTypeStateIssuer
951062MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmathew771491@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001105 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Hospitalist 8820218233 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2400 N I
35E Baylor Scott and White
Waxahachie, TX 75165
Phone (469) 843-4280

3246 Preston Rd
Suite 620
Frisco, TX 75034-9077
Phone (214) 407-7826

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Rejuvenation Center for Wellbeing PLLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 15, 2021 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Mar 15, 2021 Accepting new patients
Millennia Wellness MD PLLC Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Kidney Guardian Internal Medicine Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3246 Preston Rd
Ste 620
Frisco, TX 75034
Phone (214) 407-7826

5605 FM 423
Ste 500
Frisco, TX 75036

5605 FM 423
Ste 500355
Frisco, TX 75036
Phone (602) 702-4660

6913 Camp Bowie Blvd
Ste 171
Ft Worth, TX 76116
Phone (682) 558-4769

1650 W College St
Ste 150
Grapevine, TX 76051
Phone (817) 388-3440

2001 N MacArthur Blvd
Ste 520
Irving, TX 75061
Phone (972) 579-8485

400 W Lyndon B Johnson Fwy
Ste 130
Irving, TX 75063
Phone (972) 579-5222

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

Interoperability endpoints

  • Direct secure messaging: bmathew@mwmp-tx.direct.office.nextgen.com
  • Direct secure messaging: bmathew771491@direct.sw.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elysian Hospice LLCAddison, TX, CCN 671613 Hospice Contracted Managing Employee Jul 17, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 6

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1700170867",
    "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",
            "telephone_number": "817-731-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 171",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167165",
            "telephone_number": "817-731-6121",
            "fax_number": "817-732-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "BIJU",
        "middle_name": "BENNY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "49383",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S7496",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "S7496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951062",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmathew771491@direct.sw.org",
            "affiliation": "N",
            "address_1": "4700 Alliance Blvd Ste 400",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.