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NISHA SHEEJO MATHEW
NPI 1922536812
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Active since May 23, 2017PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
2800 S MACGREGOR WAY, HOUSTON, TX 77021(210) 773-0121 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2022, May 23, 2017 (2 updates tracked since 2017).

About Nisha Sheejo Mathew NPPES

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

NISHA SHEEJO MATHEW (NPI 1922536812) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (AP133957) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922536812
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNISHA SHEEJO MATHEW
Location Address2800 S MACGREGOR WAYHouston, TX 77021-1032
Mailing Address2800 S Macgregor WayHouston, TX 77021-1032
Phone(210) 773-0121
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2017
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1922536812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP133957
2800 S MACGREGOR WAY, Houston, TX 77021
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, WellPoint.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

Nisha Sheejo 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 ID8426320375
PECOS Enrollment IDI20170828001622
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 Nisha Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
1.5 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

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 77021 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 20

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

DR. IRAM KAZIMI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Harris County (713) 741-5000
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Psychiatry & Neurology (Psychiatry)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Harris County (713) 741-5000
KENIA VELASQUEZ
Psychologist (Clinical)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Harris County (713) 741-5000
WALES THOTTATHIKUNNATH GEORGE M.D
Psychiatry & Neurology (Psychiatry)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Harris County (713) 741-3830
MRS. JENNIFER IDIMA
Nurse Practitioner (Psychiatric/Mental Health)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Harris County (914) 308-1217
GABRIELLE FAITH GLOSTON
Student in an Organized Health Care Education/Training Program
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Harris County (713) 741-5000
DR. CLAUDIA ALEJANDRA SOTO DE LA CERDA MD PHD
Psychiatry & Neurology (Psychiatry)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Harris County (713) 741-5000
DYNA OZIOMA BENSON APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Harris County (713) 471-5000

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 Nisha Mathew's NPI number?

The NPI number for Nisha Mathew is 1922536812. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Nisha Mathew located?

Nisha Mathew practices at 2800 S Macgregor Way, Houston, TX 77021. The listed phone number is (210) 773-0121.

What is Nisha Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nisha Mathew enrolled in Medicare?

Yes. Nisha 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 Nisha Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Mathew reassigns Medicare benefits to Ut Physicians (Houston, 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 Nisha Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisha Mathew accept?

Health plans from Cigna Healthcare and WellPoint list Nisha 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 Nisha Mathew was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.