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BIJU BENNY MATHEW M.D
NPI 1700170867
Internal Medicine in Fort Worth, TX

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
6913 CAMP BOWIE BLVD STE 171, FORT WORTH, TX 76116(817) 731-6121(817) 732-8015 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2023, Jan 10, 2023, Sep 11, 2017 and 2 more (5 updates tracked since 2016).

About Biju Benny Mathew M.d NPPES

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

BIJU BENNY MATHEW M.D (NPI 1700170867) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (S7496) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1700170867
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBIJU BENNY MATHEWCredential: M.D
Location Address6913 CAMP BOWIE BLVD STE 171Fort Worth, TX 76116-7165
Mailing Address5605 Fm 423, Ste 500- 355Frisco, TX 75036-8960 · (817) 731-6121
Phone(817) 731-6121
Fax(817) 732-8015
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 7, 2011
Last NPPES UpdateJanuary 21, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1700170867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · S7496✔ Licensed in AZ · 49383
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License S7496 (TX)
6913 CAMP BOWIE BLVD STE 171, Fort Worth, TX 76116
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Other Identifiers 1

Medicaid951062AZ

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

Biju Benny Mathew 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 ID8820218233
PECOS Enrollment IDI20210217001105
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
644 services186 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
373 services63 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services80 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

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 76116 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers31 claims31 services$14.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers31 claims31 services$68.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MANALI HEALTHCARE PLLC
Hospitalist
6913 CAMP BOWIE BLVD STE 171
FORT WORTH, TX 76116
Tarrant County (682) 558-4769
DEEPTHI PARVATANENI MD PA
Family Medicine
6913 CAMP BOWIE BLVD STE 171
FORT WORTH, TX 76116
Tarrant County (817) 731-6121
HANIFA HEALTHCARE PC
Psychiatry & Neurology (Psychiatry)
6913 CAMP BOWIE BLVD STE 171
FORT WORTH, TX 76116
Tarrant County (817) 731-6121
ASHLEY MYRIAH JOHNSON D.O.
Psychiatry & Neurology (Psychiatry)
6913 CAMP BOWIE BLVD STE 171
FORT WORTH, TX 76116
Tarrant County (817) 433-5000

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 Biju Mathew's NPI number?

The NPI number for Biju Mathew is 1700170867. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Biju Mathew located?

Biju Mathew practices at 6913 Camp Bowie Blvd Ste 171, Fort Worth, TX 76116. The listed phone number is (817) 731-6121.

What is Biju Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Biju Mathew enrolled in Medicare?

Yes. Biju 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 Biju Mathew accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Biju 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 Biju Mathew affiliated with any hospitals?

According to CMS data, Biju Mathew is affiliated with Baylor Scott & White Medical Center At Irving and Baylor Scott & White Medical Center Plano.

When was this NPI record last updated?

The NPPES record for Biju Mathew was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.