ANTONY J MATHEW
NPI 1376172361
Internal Medicine - Gastroenterology in Southlake, TX

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
421 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092(682) 335-2000 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2023, Apr 2, 2020 (2 updates tracked since 2020).

About Antony J Mathew NPPES

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

ANTONY J MATHEW (NPI 1376172361) is an individual gastroenterology provider in Southlake, Texas, licensed in Texas (U3939) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2020).

NPPES Registry Identity

NPI1376172361
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANTONY J MATHEW
Location Address421 E STATE HIGHWAY 114Southlake, TX 76092-3635
Mailing Address421 E State Highway 114Southlake, TX 76092-3635 · (682) 335-2000
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1376172361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · U3939
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
421 E STATE HIGHWAY 114, Southlake, TX 76092

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

Antony J Mathew 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 ID6709344542
PECOS Enrollment IDI20260821001050
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 Antony Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 562 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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.

Nurse Practitioner
421 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
General Acute Care Hospital
421 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Nurse Practitioner (Family)
421 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Anesthesiology
421 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Emergency Medicine
421 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092

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 Antony Mathew's NPI number?

The NPI number for Antony Mathew is 1376172361. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Antony Mathew located?

Antony Mathew practices at 421 E State Highway 114, Southlake, TX 76092. The listed phone number is (682) 335-2000.

What is Antony Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Antony Mathew enrolled in Medicare?

Yes. Antony 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 organization bills Medicare for Antony Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antony Mathew reassigns Medicare benefits to Medhealth (Grand Prairie, TX). 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 Antony Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antony Mathew accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Antony 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.

When was this NPI record last updated?

The NPPES record for Antony Mathew was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.