Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mathew Roy

Individual provider Family Nurse Practitioner · NPI 1801243779

Mathew Roy is a Nurse Practitioner in Southlake, Texas. Qualified in 2016, 10 years ago. Practices with Total MD Physicians Group, PLLC, a 128-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
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Practice location Address checks out

1920 E State Highway 114
Southlake, TX 76092-6510
Phone: (817) 442-5698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP130598 (TX)

Record details

NPI number1801243779
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022
Mailing address2175 E Southlake Blvd, Ste 120, Southlake, TX 76092-6544

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Total Md Physicians Group, Pllc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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