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KALLUKALAM JOSEPH MATHEW M.D.
NPI 1720033392
Internal Medicine - Cardiovascular Disease in Riverdale, MD

Active since May 23, 2006PECOS Enrolled
6504 KENILWORTH AVE, SUITE 200, RIVERDALE, MD 20737(301) 927-8011(301) 699-1584 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kallukalam Joseph Mathew M.d. NPPES

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

KALLUKALAM JOSEPH MATHEW M.D. (NPI 1720033392) is an individual cardiovascular disease provider in Riverdale, Maryland, licensed in Maryland (D0014799) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720033392
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKALLUKALAM JOSEPH MATHEWCredential: M.D.
Location Address6504 KENILWORTH AVE, SUITE 200Riverdale, MD 20737-1386
Mailing Address6504 Kenilworth Ave, Suite 200Riverdale, MD 20737-1386 · (301) 927-8011 · Fax (301) 699-1584
Phone(301) 927-8011
Fax(301) 699-1584
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 31, 2014
✔ NPI 1720033392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MD · D0014799
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6504 KENILWORTH AVE, Riverdale, MD 20737
Open in Google Maps ↗

Other Identifiers 3

Medicaid060042761MD
Medicare ID-Type Unspecified173171R96MD
Medicare UPIND09455MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kallukalam Joseph Mathew M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kallukalam Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Medical Associates PA
Same address
Endocrinology, Diabetes & Metabolism
6502 KENILWORTH AVE, SUITE 100
Riverdale, MD 20737
  • Reassigned Medicare billing, District of Columbia enrollment
  • 10 clinicians in this Medicare group
NPI 1730132648 (301) 927-0088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20737 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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 2

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

RIVERDALE RADIOLOGY, LLC
Radiology (Diagnostic Radiology)
6504 KENILWORTH AVE, SUITE 100
RIVERDALE, MD 20737
Prince George's County (301) 277-1890
DR. TANVEER A. MALIK MD
Internal Medicine (Cardiovascular Disease)
6504 KENILWORTH AVE, SUITE 200
RIVERDALE, MD 20737
Prince George's County (301) 927-8011

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 Kallukalam Mathew's NPI number?

The NPI number for Kallukalam Mathew is 1720033392. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Kallukalam Mathew located?

Kallukalam Mathew practices at 6504 Kenilworth Ave Suite 200, Riverdale, MD 20737. The listed phone number is (301) 927-8011.

What is Kallukalam Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kallukalam Mathew enrolled in Medicare?

Yes. Kallukalam Mathew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kallukalam Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kallukalam Mathew reassigns Medicare benefits to Riverside Medical Associates PA (Riverdale, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kallukalam Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kallukalam Mathew was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.