MATHEW KOSHY KANDATHIL MD
NPI 1346232097
Internal Medicine - Gastroenterology in Tavernier, FL

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
91550 OVERSEAS HWY STE 205, TAVERNIER, FL 33070(305) 434-3400 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Apr 8, 2024, Dec 19, 2022 and 1 more (4 updates tracked since 2019).

About Mathew Koshy Kandathil Md NPPES

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

MATHEW KOSHY KANDATHIL MD (NPI 1346232097) is an individual gastroenterology provider in Tavernier, Florida, licensed in Florida (ME139797) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Fishermen's Community Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1346232097
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMATHEW KOSHY KANDATHILCredential: MD
Location Address91550 OVERSEAS HWY STE 205Tavernier, FL 33070-2513
Mailing AddressPo Box 100707Atlanta, GA 30384-0707 · (305) 434-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateAugust 18, 2005
Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1346232097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in FL · ME139797 Licensed in MA · 40612
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 40740 (NJ)
91550 OVERSEAS HWY STE 205, Tavernier, FL 33070

Secondary Practice Locations 4

Location 1500 River Ave Ste 140, Shore Medical SpecialistsLakewood, NJ 08701-4743 · Phone (732) 363-7200 · Fax (732) 363-8183
Location 221 Eastern AveWorcester, MA 01605-3094 · Phone (508) 856-8350
Location 355 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-3068
Location 4119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-3068

Other Identifiers 1

Medicaid3533409NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mathew Koshy Kandathil Md 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 ID1658394838
PECOS Enrollment IDI20231004002833
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services18 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fishermen's Community Hospital

Critical Access Hospitals · Marathon, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101312
Location3301 Overseas HwyMarathon, FL 33050 · Monroe County
Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33070 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
91550 OVERSEAS HWY STE 205
TAVERNIER, FL 33070
Physician Assistant
91550 OVERSEAS HWY STE 205
TAVERNIER, FL 33070
Internal Medicine (Gastroenterology)
91550 OVERSEAS HWY STE 205
TAVERNIER, FL 33070

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 Mathew Kandathil's NPI number?

The NPI number for Mathew Kandathil is 1346232097. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Mathew Kandathil located?

Mathew Kandathil practices at 91550 Overseas Hwy Ste 205, Tavernier, FL 33070. The listed phone number is (305) 434-3400.

What is Mathew Kandathil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mathew Kandathil enrolled in Medicare?

Yes. Mathew Kandathil 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.

What insurance does Mathew Kandathil accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan and Ambetter of Alabama and 7 other insurers list Mathew Kandathil 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.

Is Mathew Kandathil affiliated with any hospitals?

According to CMS data, Mathew Kandathil is affiliated with Fishermen's Community Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Mathew Kandathil was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.