Active NPI
Jeselle A Mathews, M.D.
- Obstetrics Physician
- Mission, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- H6416
- Practice address
- 2134 E Griffin Pkwy
Mission, TX 78572-3225 - Phone
- (956) 580-0580
- NPI assigned
- Oct 25, 2007
- Last updated
- May 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | H6416 | TX | Primary |
Addresses
Primary practice location
2134 E Griffin Pkwy
Mission, TX 78572-3225
Mailing address
PO Box 1595
Mission, TX 78573-0027
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00T45N | Other | TX | BLUE CROSS BLUE SHIELD |
| 135573704 | Medicaid | TX |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Harvard Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2134 E Griffin Pkwy
Mission, TX 78572-3225
Phone (956) 580-0580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeselle a Mathews, Mdpa | Obstetrics | Current | Accepting new patients |
Locations
10900 N 103rd St
Mission, TX 78573
Phone (956) 432-0122
2134 E Griffin Pkwy
Mission, TX 78572
Phone (956) 580-0580
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCCBAA/Endpoint/BCCBAA
Organizations & group practices 1
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.
-
dba Womens Diagnostic Center
- Obstetrics Physician
- Mission, TX
- NPI 1710090451
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rio Grande Regional Hospital
- General Acute Care Hospital
- McAllen, TX
- NPI 1619924719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1730368879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "MISSION",
"state": "TX",
"postal_code": "785730027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2134 E GRIFFIN PKWY",
"city": "MISSION",
"state": "TX",
"postal_code": "785723225",
"telephone_number": "956-580-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "JESELLE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "H6416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00T45N",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135573704",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.