MATHEW KOSHY KANDATHIL (MD) – Gastroenterology Physician, NPI 1346232097
Gastroenterology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for MATHEW KOSHY KANDATHIL (MD)
91550 OVERSEAS HWY STE 205
TAVERNIER, FL 330702513
Phone: (305) 434-3400
Type: Location
123, Hospital Drive, Watertown, Dodge County, Wisconsin, 53098, United States
STE 2009
WATERTOWN, WI 530983320
Phone: (920) 262-4560
Fax: (920) 206-0122
Type: Mailing
140, River Avenue, Lakewood, Ocean County, New Jersey, 08701, United States
SHORE MEDICAL SPECIALISTS
LAKEWOOD, NJ 087014743
Phone: (732) 363-7200
Fax: (732) 363-8183
Type: Location
55 Lake Ave N
Worcester, MA 016550002
Phone: (508) 334-3068
Type: Location
500 River Ave Ste 140
Shore Medical Specialists
Lakewood, NJ 087014743
Phone: (732) 363-7200
Fax: (732) 363-8183
Type: Location
21 Eastern Ave
Worcester, MA 016053094
Phone: (508) 856-8350
Type: Location
119 Belmont St
Worcester, MA 016052903
Phone: (508) 334-3068
Type: Location
PO BOX 100707
ATLANTA, GA 303840707
Phone: (305) 434-3400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,725.
Total Amount is formed as General ($1,725) + Research ($0) + Ownership ($0) = $1,725.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($755).
Total Amount
$1,725
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,725
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $755 |
| E.R. Squibb & Sons, L.L.C. | $471 |
| Janssen Biotech, Inc. | $446 |
| Meridian Bioscience Inc. | $23 |
| Boston Scientific Corporation | $16 |
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: 2023-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060113000539 | I | Gastroenterology | NJ | TBD |
| I20190319000719 | I | Gastroenterology | WI | TBD |
| I20191028000016 | I | Gastroenterology | CA | TBD |
| I20220929000865 | I | Gastroenterology | NC | TBD |
| I20231004002833 | I | Gastroenterology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33070)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| - | GA | |
| General Surgery | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| General Surgery | FL | |
| - | FL | |
| Internal Medicine | GA | |
| - | FL |
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