Individual provider Active NPI

Roy Mathew, MD

  • Psychiatry Physician
  • Midland, TX
National Provider Identifier
1801992920
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E6496 Issued in TX
Practice address
600 N Marienfeld St
Ste 308
Midland, TX 79701-4395
Phone
(432) 617-3855
Fax
(432) 617-3840
NPI assigned
Sep 16, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E6496 TX Primary

Addresses

Primary practice location

600 N Marienfeld St
Ste 308
Midland, TX 79701-4395

Mailing address

6810 Island Cir # 1
Midland, TX 79707-1413
Phone (432) 617-3855

Other identifiers 1

IdentifierTypeStateIssuer
8U9360OtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000829 TX Practitioner - Psychiatry 6305813387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3425 Caldera Blvd
Midland, TX 79707-2825
Phone (432) 617-3855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roy J Mathew Mdpa Psychiatry CurrentSince Nov 8, 2004 Accepting new patients
Womens Wellness of West Texas CurrentSince Jan 11, 2024 Accepting new patients
West Texas Centers for MHMR Psychiatry Past Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry Past Accepting new patients

Locations

3425 Caldera Blvd
Midland, TX 79707
Phone (432) 333-2229

600 N Marienfeld St
Ste 308
Midland, TX 79701
Phone (432) 617-3855

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1801992920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 ISLAND CIR # 1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797071413",
            "telephone_number": "432-617-3855",
            "fax_number": "432-617-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MARIENFELD ST",
            "address_2": "STE 308",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797014395",
            "telephone_number": "432-617-3855",
            "fax_number": "432-617-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E6496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U9360",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.