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

Q: 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.

Q: What is Kallukalam Mathew's specialty?

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

Q: 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.

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: August 16, 2026.

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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

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Other Identifiers 3

Medicaid060042761MD

Medicare ID-Type Unspecified173171R96MD

Medicare UPIND09455MD

Medicare Participation & PECOS CMS

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

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.

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.

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.