TONY TOM MATHEW MD
NPI 1205414125
Emergency Medicine in Dallas, TX
About Tony Tom Mathew Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONY TOM MATHEW MD (NPI 1205414125) is an individual emergency medicine provider in Dallas, Texas, licensed in Texas (U0621) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Hoke Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tony Tom Mathew Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Tony Mathew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75204
- Reassigned Medicare billing, Texas enrollment
- 59 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 153 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 clinicians in this Medicare group
Raeford, NC 28376
- Reassigned Medicare billing, North Carolina enrollment
- 97 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cape Fear Valley Hoke Hospital
Acute Care Hospitals · Raeford, NCMethodist Hospital
Acute Care Hospitals · San Antonio, TXMethodist Hospital Stone Oak
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tony Mathew's NPI number?
The NPI number for Tony Mathew is 1205414125. It was assigned to this individual provider in the NPPES registry on March 31, 2021.
Where is Tony Mathew located?
Tony Mathew practices at 5323 Harry Hines Blvd Ste E4.300, Dallas, TX 75390. The listed phone number is (214) 648-3916.
What is Tony Mathew's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tony Mathew enrolled in Medicare?
Yes. Tony Mathew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tony Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tony Mathew reassigns Medicare benefits to 5 organizations: Innovative Emergency Physicians Of Uptown (Dallas, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Victoria Emergency Associates LLC (Victoria, TX), Concord Medical Group Of Texas PLLC (Lubbock, TX) and Hoke Emergency Group, PC (Raeford, NC). Each 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 Tony Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tony Mathew accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company and UnitedHealthcare list Tony Mathew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tony Mathew affiliated with any hospitals?
According to CMS data, Tony Mathew is affiliated with Cape Fear Valley Hoke Hospital, Methodist Hospital and Methodist Hospital Stone Oak.
When was this NPI record last updated?
The NPPES record for Tony Mathew was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Tony Tom Mathew, MD · NPI 1205414125
Emergency Medicine physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since March 31, 2021.
## Identity
- **NPI:** 1205414125 (Entity type: Individual)
- **Enumerated:** March 31, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** U0621 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5323 HARRY HINES BLVD STE E4.300, Dallas, TX 75390-7208
- **Phone:** (214) 648-3916
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Innovative Emergency Physicians Of Uptown (NPI 1144098690, Dallas, TX); Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Victoria Emergency Associates LLC (NPI 1407917164, Victoria, TX); Concord Medical Group Of Texas PLLC (NPI 1750790762, Lubbock, TX); Hoke Emergency Group, PC (NPI 1003337528, Raeford, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205414125) · Data from the CMS NPPES public registry.