Plano OB Gyn Associates – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1154499051

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

Plano OB Gyn Associates is a healthcare provider. based in Plano, Texas. specializing in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. The organization holds a License No. H6415 (TX). The NPI Number for Plano OB Gyn Associates is 1154499051

Main info

Organization
Name
Plano OB Gyn Associates
NPI
1154499051
Phone
(972) 781-1444
Address
3108 MIDWAY RD
Authorized Official
J KYLE MATHEWS PHYSICIAN OWNER M.D.
Enumeration Date
1 December 2006
Last Update Date
20 October 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Plano OB Gyn Associates

  • 3108, Midway Road, Plano, Collin County, Texas, 75093, United States

    SUITE 210 OR 200

    PLANO, TX 750936383

    Phone: (972) 781-1444

    Fax: (972) 781-1448

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (144 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20081126000032OClinic/Group PracticeTX2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75093)

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Reviews

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Frequently asked questions

How is Plano OB Gyn Associates identified in CMS data?
CMS-hosted NPPES data lists Plano OB Gyn Associates with NPI 1154499051.
Does the file indicate Plano OB Gyn Associates is practicing under active NPI?
Directory data currently reports Plano OB Gyn Associates as active.
What is Plano OB Gyn Associates's primary classification?
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician is the headline specialty for Plano OB Gyn Associates here. Clinical services aligned with this taxonomy classification.
What address line appears for Plano OB Gyn Associates?
Plano OB Gyn Associates's geographic hint is Plano, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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SHAYZREEN M ROSHANRAVAN (MD)

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J. KYLE MATHEWS (M.D.)

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3108, Midway Road, Plano, Collin County, Texas, 75093, United States
NPI: 1730379934