Individual provider Active NPI

Ryan Mathew, M.D.

  • Rheumatology Physician
  • Kennesaw, GA
National Provider Identifier
1043664899
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
105539 Issued in GA
Practice address
4255 Wade Green Rd NW Ste 925
Kennesaw, GA 30144-1280
Phone
(770) 284-3150
NPI assigned
Apr 19, 2016
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 44728 AL
Internal Medicine Physician 207R00000X 125.068511 IL
Rheumatology Physician 207RR0500X 105539 GA Primary

Addresses

Primary practice location

4255 Wade Green Rd NW Ste 925
Kennesaw, GA 30144-1280

Mailing address

11731 Pointe PL
Roswell, GA 30076-4636
Phone (770) 284-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220808002496 AL Practitioner - Rheumatology 7719270404 Reassigns benefits to 1 organization
I20250819002484 GA Practitioner - Rheumatology 7719270404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Rheumatology Center PCGroup PAC ID 4688812001, 24 clinicians
WV Medical Services PCGroup PAC ID 0840254975, 7 clinicians

Practice addresses (Care Compare)

4255 Wade Green Rd NW
Suite 925
Kennesaw, GA 30144-1280
Phone 7702843150458

4280 Watermelon Rd
Suite 112
Northport, AL 35473-5250
Phone (205) 750-0030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
88.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44728ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Rheumatology Center PC CurrentSince Sep 1, 2025 Accepting new patients
WV Medical Services PC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
The Radiology Clinic LLC PastSince Aug 1, 2022 Accepting new patients

Locations

4280 Watermelon Rd
Northport, AL 35473
Phone (205) 933-8981

4280 Watermelon Rd
Ste 112
Northport, AL 35473
Phone (205) 464-4975

4255 Wade Green Rd NW
Ste 925
Kennesaw, GA 30144
Phone (470) 239-1199

11685 Alpharetta Hwy
Ste 120
Roswell, GA 30076
Phone 7702843150407

3921 Johns Creek Ct
Ste C
Suwanee, GA 30024
Phone 7702843150458

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAADCA
  • Direct secure messaging: ryan.mathew.p1@direct.crd.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1043664899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11731 POINTE PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764636",
            "telephone_number": "770-284-3150",
            "fax_number": "770-284-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WADE GREEN RD NW STE 925",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441280",
            "telephone_number": "770-284-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "44728",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.068511",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "105539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.