DR. JACOB MUTHALALY MATHEW M.D. NPI 1710177506

NPI Information

  • NPI: 1710177506
  • Provider Name: DR. JACOB MUTHALALY MATHEW, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1970 ROANOKE BLVD
    DEPARTMENT OF CARDIOLOGY
    SALEM, VA
    ZIP 24153
  • Phone: (540) 982-2463

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NPI Details

DR. Jacob Muthalaly Mathew, M.D. is an interventional cardiology internal medicine in Salem, VA with 26 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Jacob Muthalaly Mathew, M.D. NPI is 1710177506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1970 ROANOKE BLVD
DEPARTMENT OF CARDIOLOGY
SALEM, VA
ZIP 24153-404
Phone: (540) 982-2463

The NPI 1710177506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 11/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine125-053685ILLINOISNo
2207RC0000XInternal MedicineCardiovascular DiseaseA111744CALIFORNIANo
3207RI0011XInternal MedicineInterventional CardiologyE-7924ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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