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MR. SAM MATHEW PA
NPI 1619198082
Physician Assistant in Dallas, TX

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
5959 HARRY HINES BLVD STE 620, DALLAS, TX 75235(214) 905-1300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Sam Mathew Pa NPPES

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

MR. SAM MATHEW PA (NPI 1619198082) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA05129) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2006).

NPPES Registry Identity

NPI1619198082
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SAM MATHEWCredential: PA
Location Address5959 HARRY HINES BLVD STE 620Dallas, TX 75235-6245
Mailing Address5959 Harry Hines Blvd Ste 620Dallas, TX 75235-6245 · (214) 905-1300
Phone(214) 905-1300
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619198082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA05129
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5959 HARRY HINES BLVD STE 620, Dallas, TX 75235
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mr. Sam Mathew Pa 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 ID9537260807
PECOS Enrollment IDI20070731000350
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.

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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 Sam Mathew's NPI number?

The NPI number for Sam Mathew is 1619198082. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Sam Mathew located?

Sam Mathew practices at 5959 Harry Hines Blvd Ste 620, Dallas, TX 75235. The listed phone number is (214) 905-1300.

What is Sam Mathew's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sam Mathew enrolled in Medicare?

Yes. Sam 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.

What insurance does Sam 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 1 other insurer list Sam 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 Sam Mathew affiliated with any hospitals?

According to CMS data, Sam Mathew is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Sam Mathew was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.