Individual provider Active NPI

Roshan K. Mathew, M.D.

  • Interventional Cardiology Physician
  • Owensboro, KY
National Provider Identifier
1093820953
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
39846 Issued in KY
Practice address
3110 Fairview Dr
Owensboro, KY 42303-2175
Phone
(270) 240-2129
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 39846 KY Primary
Cardiovascular Disease Physician 207RC0000X 39846 KY

Addresses

Primary practice location

3110 Fairview Dr
Owensboro, KY 42303-2175

Mailing address

2609 New Hartford Rd
Owensboro, KY 42303-1316
Phone (270) 240-1747

Other practice location 1

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone (270) 417-7500

Other practice location 2

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303
Phone (270) 417-7500

Other practice location 3

3110 Fairveiw Drive
Owensboro, KY 42303
Phone (270) 240-2129

Other practice location 4

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303
Phone (270) 417-7500

Other identifiers 2

IdentifierTypeStateIssuer
64121510MedicaidKY
200900130MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 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
I20051116000540 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769374933 Reassigns benefits to 4 organizations
I20250313000566 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2769374933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 222-2100

3110 Fairview Dr
Owensboro, KY 42303-2175
Phone (270) 240-2129

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39846KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc CurrentSince Jul 22, 2009 Accepting new patients
Ohio County Hospital Corporation CurrentSince Jun 19, 2023 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Roshan K Mathew, MD. P.S.C. Cardiovascular Disease CurrentSince Nov 1, 2016 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jul 22, 2009 Accepting new patients
Centennial Heart LLC Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Ohio County Hospital Corporation CurrentSince Jun 19, 2023 Accepting new patients
New York University Cardiovascular Disease Past Accepting new patients
Medical Health Center, P.a. Cardiovascular Disease Past Accepting new patients
Ronnie a. Hershman, M.D., PLLC Cardiovascular Disease Past Accepting new patients

Locations

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

125 Memorial Dr
Franklin, KY 42134
Phone (270) 586-6004

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
Phone (270) 417-7500

815 E Parrish Ave
Ste 150
Owensboro, KY 42303
Phone (270) 688-0808

3110 Fairview Dr
Owensboro, KY 42303
Phone (270) 240-2129

2609 New Hartford Rd
Owensboro, KY 42303
Phone (270) 215-2601

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

Interoperability endpoints

  • Direct secure messaging: roshan.mathew@hca1.eclinicaldirectplus.com
  • Direct secure messaging: drmathew@acoo-in.direct.office.nextgen.com
  • Direct secure messaging: roshan.mathew.p1@direct.aco.nextgenshare.com

Organizations & group practices 11

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

Hospital & facility affiliations 5

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1093820953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "270-240-1747",
            "fax_number": "270-240-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 FAIRVIEW DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032175",
            "telephone_number": "270-240-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pleasant Valley Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039774",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pleasant Valley Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "42303",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Fairveiw Drive",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "42303",
            "country_code": "US",
            "telephone_number": "270-240-2129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pleasant Valley Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "42303",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ROSHAN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "39846",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "39846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64121510",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200900130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.