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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. RENJU MATHEW
NPI 1194532051
Nurse Practitioner - Psychiatric/Mental Health in Brentwood, TN

Active since December 14, 2024PECOS Enrolled
1249 WHEATLEY FOREST DR, BRENTWOOD, TN 37027(516) 270-5813 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, May 14, 2026, Dec 14, 2024 (3 updates tracked since 2024).

About Mr. Renju Mathew NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RENJU MATHEW (NPI 1194532051) is an individual psychiatric/mental health provider in Brentwood, Tennessee, licensed in New York (406361) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194532051
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RENJU MATHEW
Location Address1249 WHEATLEY FOREST DRBrentwood, TN 37027-8343
Mailing Address1249 Wheatley Forest DrBrentwood, TN 37027-8343 · (516) 270-5813
Phone(516) 270-5813
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 14, 2024
Last NPPES UpdateOctober 19, 20263 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1194532051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NY · 406361✔ Licensed in TN · 43037
1249 WHEATLEY FOREST DR, Brentwood, TN 37027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Renju Mathew is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446778203
PECOS Enrollment IDI20260312002626
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Renju Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Bridge, Inc.
766 mi
Community/Behavioral Health
248 W 108TH ST, 6TH FLOOR
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1831269315 (212) 663-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renju Mathew's NPI number?

The NPI number for Renju Mathew is 1194532051. It was assigned to this individual provider in the NPPES registry on December 14, 2024.

Where is Renju Mathew located?

Renju Mathew practices at 1249 Wheatley Forest Dr, Brentwood, TN 37027. The listed phone number is (516) 270-5813.

What is Renju Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Renju Mathew enrolled in Medicare?

Yes. Renju Mathew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Renju Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renju Mathew reassigns Medicare benefits to The Bridge, Inc. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renju Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Renju Mathew was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.