Active NPI
Jeffy Mathew, MD
- Pulmonary Disease Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- V0043
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 567-6418
- NPI assigned
- Mar 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | V0043 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | V0043 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | V0043 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 567-6418
Other practice location 1
100 Woods Road
Dept of Pulmonary and Critical Care Macy - Room 1042
Valhalla, NY 10595
Phone (914) 493-7518
Other practice location 2
101 Nicolls Rd
Dept of Medicine HSC Level 16 SUNY Stony Brook Hospital
Stony Brook, NY 11794-0001
Phone (631) 444-2058
Other practice location 3
7703 Floyd Curl Drive
Division of Pulmonary Diseases & Critical Care
San Antonio, TX 78229
Phone (210) 567-4879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Drexel University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Hospital & facility affiliations
- University Health System
- Ut Health San Antonio Multispecialty & Research Ho
- Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Internal Medicine | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
8435 Wurzbach Rd
Ste 305
San Antonio, TX 78229
Phone (210) 450-9800
8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300
7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000
Interoperability endpoints
- jmathew56783@direct.utmsa.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1952833162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-567-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-567-6418"
}
],
"practiceLocations": [
{
"address_1": "100 Woods Road",
"address_2": "Dept of Pulmonary and Critical Care Macy - Room 1042",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "10595",
"country_code": "US",
"telephone_number": "914-493-7518",
"fax_number": "914-493-8130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Nicolls Rd",
"address_2": "Dept of Medicine HSC Level 16 SUNY Stony Brook Hospital",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-444-2058",
"fax_number": "631-444-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7703 Floyd Curl Drive",
"address_2": "Division of Pulmonary Diseases & Critical Care",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "78229",
"country_code": "US",
"telephone_number": "210-567-4879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEW",
"first_name": "JEFFY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "V0043",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "V0043",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "V0043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.