Individual provider Active NPI

Preethy Sara Mathew, AG-ACNP

  • Acute Care Nurse Practitioner
  • Plano, TX
National Provider Identifier
1831672088
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP138397 Issued in TX
Practice address
6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone
(972) 378-9560
Fax
(844) 290-4363
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP138397 TX Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 536
Plano, TX 75093-8137

Mailing address

6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone (972) 378-9560

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181031002610 TX Practitioner - Nurse Practitioner 6305199738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartplace PLLCGroup PAC ID 2769386473, 90 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Suite 536
Plano, TX 75093-8137
Phone (972) 378-9560

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Texas Health Hospital Frisco Hospital, Frisco, TX, CCN 670260

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
75.09
Promoting interoperability
100
Improvement activities
40
Cost
79.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP138397TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Oct 16, 2018 Accepting new patients
Heartplace, PLLC Current Accepting new patients
Heartplace, PLLC CurrentSince Oct 16, 2018 Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

13192 Dallas Pkwy
Ste 610B
Frisco, TX 75033
Phone (469) 213-5969

2800 E Broad St
Ste 318
Mansfield, TX 76063
Phone (214) 946-9898

4708 Alliance Blvd
Ste 50
Plano, TX 75093
Phone (972) 941-3100

6124 W Parker Rd
Ste 536
Plano, TX 75093
Phone (972) 378-9560

Interoperability endpoints

  • Direct secure messaging: preethy.oommen.1@14273.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
  • Direct secure messaging: preethy.mathew@ushv.eclinicaldirectplus.com

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.

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1831672088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "PREETHY",
        "middle_name": "SARA",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP138397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.