SUSAN K MATHAI M.D.
NPI 1245467737
Internal Medicine - Pulmonary Disease in Dallas, TX

Q: What is Susan Mathai's NPI number?

The NPI number for Susan Mathai is 1245467737. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Q: What is Susan Mathai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Susan Mathai was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment

3410 WORTH ST STE 250, DALLAS, TX 75246(214) 820-6856(214) 820-1417 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2022, Sep 5, 2018, May 20, 2016 (3 updates tracked since 2016).

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About Susan K Mathai M.d. NPPES

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

SUSAN K MATHAI M.D. (NPI 1245467737) is an individual pulmonary disease provider in Dallas, Texas, licensed in Texas (R5594) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Yale University School Of Medicine (2009).

NPPES Registry Identity

NPI1245467737

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameSUSAN K MATHAICredential: M.D.

Location Address3410 WORTH ST STE 250Dallas, TX 75246

Mailing Address12605 East 16th Avenue, University Of Colorado HospitalAurora, CO 80045 · (720) 848-0000

Phone(214) 820-6856

Fax(214) 820-1417

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2009

Enumeration DateJune 11, 2009

Last NPPES UpdateApril 5, 20223 updates tracked since enumeration

NPPES CertifiedApril 5, 2022

✔ NPI 1245467737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in TX · R5594✔ Licensed in CO · DR.0052160

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0052160 (CO), R5594 (TX)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License DR.0052160 (CO), R5594 (TX)

3410 WORTH ST STE 250, Dallas, TX 75246

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan K Mathai M.d. 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.

PECOS PAC ID3375705783

PECOS Enrollment IDI20181018001819

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.

Areas of Expertise CMS Part B claims 9

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.

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

278 services150 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

275 services156 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

246 services144 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

205 services130 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

89 services69 patients

Test for exercise-induced heart and lung stress 94621

This is a test to evaluate how your heart and lungs respond to physical exertion. You'll exercise on a treadmill or a stationary bike, while your heart rate, breathing, blood pressure, and fatigue levels are monitored. This helps identify any abnormal responses to physical activity.

41 services41 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Baylor Scott & White Heart & Vascular Hospital - Dallas

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450851

Location621 North Hall StreetDallas, TX 75226 · Dallas County

Emergency services

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450890

Location4700 Alliance BoulevardPlano, TX 75093 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers13 claims13 services$32.64 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers16 claims16 services$78.40 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers16 claims48 services$30.20 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers16 claims96 services$1.94 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers41 claims41 services$18.72 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers14 claims14 services$918.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN GILBERT AGACNP

Nurse Practitioner (Acute Care)