Mathew Kandathil, MD
NPI 1346232097 · Gastroenterology Physician · Tavernier, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mathew Kandathil, MD is a Gastroenterology Physician provider in Tavernier, FL (NPI 1346232097).
Provider details
- NPI number
- 1346232097
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 40612 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
99 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 34 | $235 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $178 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 19 | $130 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 13 | $121 |
Typical Medicare-allowed amounts for these services range $121–$235 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$464 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 21 Eastern AveWorcester, MA 01605-3094Phone: (508) 856-8350
- 55 Lake Ave NWorcester, MA 01655-0002Phone: (508) 334-3068
- 119 Belmont StWorcester, MA 01605-2903Phone: (508) 334-3068
- 500 River Ave Ste 140Shore Medical SpecialistsLakewood, NJ 08701-4743Phone: (732) 363-7200Fax: (732) 363-8183
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Frequently asked questions
- What is Mathew Kandathil's NPI number?
- Mathew Kandathil's National Provider Identifier (NPI) is 1346232097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mathew Kandathil's specialty?
- Mathew Kandathil is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Mathew Kandathil located?
- Mathew Kandathil's practice location on file with NPPES is 91550 Overseas Hwy Ste 205, Tavernier, FL 33070-2513.
- What is Mathew Kandathil's phone number?
- The practice phone number listed in the NPPES registry for Mathew Kandathil is (305) 434-3400.
- Does Mathew Kandathil accept Medicare?
- Mathew Kandathil is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mathew Kandathil's NPI active?
- Yes — Mathew Kandathil's NPI (1346232097) is active in the NPPES registry as of the last update on 2025-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.