Mathew Koshy Kandathil, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME139797 Issued in FL

Practice address

91550 Overseas Hwy Ste 205
Tavernier, FL 33070-2513

Phone

(305) 434-3400

NPI assigned

Aug 18, 2005

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, WI, CA, NC, FL5 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 5

Specialty

Gastroenterology

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group Upper Keys LLCGroup PAC ID 4688763030, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mariners Hospital Hospital, Tavernier, FL, CCN 101313
• Fishermen's Community Hospital Hospital, Marathon, FL, CCN 101312

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kandathil.mathew.002.0300079@shms.meditab.direct-ci.com
• Direct secure messaging: mat24665@cerner.directbaptisthealth.com
• Direct secure messaging: mkandathil48772@enloedirect.org

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.

• Baptist Health Medical Group Upper Keys, LLC

  • Specialist
  • Tavernier, FL
  • NPI 1558553479
  Medicare reassignment Care Compare group NPD
• DLP Frye Medical Group LLC

  dba FryeCare Lincolnton Medical Group

  • Rural Health Clinic/Center
  • Lincolnton, NC
  • NPI 1154005965
  Medicare reassignment NPD
• Enloe Medical Center

  dba Enloe Digestive Diseases Clinic

  • Gastroenterology Physician
  • Chico, CA
  • NPI 1801226162
  Medicare reassignment NPD
• Garden State Cardiovascular Specialists P.C

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
  • NPI 1225059660
  Medicare reassignment NPD
• Lakehurst Professional Medical Group LLC

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1629553565
  Medicare reassignment NPD
• Vinod Sancheti Mdpa

  • Family Medicine Physician
  • Toms River, NJ
  • NPI 1891820304
  Medicare reassignment NPD
• Watertown Physician Practices LLC

  • Family Medicine Physician
  • Watertown, WI
  • NPI 1770964363

  Internal Medicine

  Medicare reassignment NPD
• Baptist Health Medical Group Upper Keys, LLC

  • Durable Medical Equipment & Medical Supplies
  • Marathon, FL
  • NPI 1427774645
  NPD
• DLP Frye Medical Group, LLC

  dba FryeCare Claremont Family

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1821537697

  Internal Medicine

  NPD
• Enloe Medical Center

  dba Enloe Op Center Pharmacy

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Watertown Physician Practices LLC

  • Obstetrics & Gynecology Physician
  • Watertown, WI
  • NPI 1225412265

  Internal Medicine

  NPD
• Watertown Physician Practices LLC

  dba WRMC Directions Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Watertown, WI
  • NPI 1760866891
  NPD

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

• Fishermens Health Inc

  • Critical Access Hospital
  • Marathon, FL
  • NPI 1235669110
  Care Compare affiliation
• Mariners Hospital, Inc

  dba Mariners Hospital

  • Critical Access Hospital
  • Tavernier, FL
  • NPI 1518941806
  Care Compare affiliation

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1346232097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100707",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840707",
            "telephone_number": "305-434-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91550 OVERSEAS HWY STE 205",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702513",
            "telephone_number": "305-434-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053094",
            "country_code": "US",
            "telephone_number": "508-856-8350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 River Ave Ste 140",
            "address_2": "Shore Medical Specialists",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087014743",
            "country_code": "US",
            "telephone_number": "732-363-7200",
            "fax_number": "732-363-8183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "508-334-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDATHIL",
        "first_name": "MATHEW",
        "middle_name": "KOSHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "40740",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "40612",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME139797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3533409",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MAT24665@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "91550 Overseas Hwy Ste 205",
            "city": "Tavernier",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330702513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Angela Faye Kemmer, LCSW
• Keys Physical Therapy (KeysPT)
• Keys Physician Services PA
• Michelle Ann Lago
• Landsaw O D P a (Landsaw Eyecare)

• Gastroenterology Physician in Tavernier, FL
• Providers in Tavernier, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.