DR. KANDATHIL M. MATHEW (M.D.) – Cardiovascular Disease Physician, NPI 1265495444

DR. KANDATHIL M. MATHEW (M.D.) is a healthcare provider. based in Riverdale, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 021547 (GA). The NPI Number for DR. KANDATHIL M. MATHEW (M.D.) is 1265495444

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
DR. KANDATHIL M. MATHEW (M.D.)
NPI
1265495444
Phone
(770) 991-2100
Address
6507 PROFESSIONAL PL
Enumeration Date
10 April 2006
Last Update Date
25 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1969 (57 years ago)
PAC ID
7214031566
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20100823000858
Address ID
GA303452711AT2201XNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for DR. KANDATHIL M. MATHEW (M.D.)

  • 6507, Professional Place, Riverdale, Clayton County, Georgia, 30274, United States

    RIVERDALE, GA 302744941

    Phone: (770) 991-2100

    Fax: (770) 991-1180

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20100823000858ICardiovascular Disease (Cardiology)GATBD

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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes634334$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12044$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report101100$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3533$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing2626$0
View full utilization report →

Insurance plans in this area (ZIP 30274)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

How is DR. KANDATHIL M. MATHEW (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KANDATHIL M. MATHEW (M.D.) with NPI 1265495444.
Is DR. KANDATHIL M. MATHEW (M.D.) still practicing?
DR. KANDATHIL M. MATHEW (M.D.) is currently listed as active in the public NPI registry.
What is DR. KANDATHIL M. MATHEW (M.D.)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for DR. KANDATHIL M. MATHEW (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KANDATHIL M. MATHEW (M.D.)?
DR. KANDATHIL M. MATHEW (M.D.)'s geographic hint is Riverdale, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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