Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Muthalaly Mathew, MD

Individual provider Internal Medicine Physician · NPI 1710177506

Dr. Jacob Muthalaly Mathew, MD is a Cardiovascular Disease (Cardiology) in Salem, Virginia. Qualified in 2000, 26 years ago. Practices with Dlp Western Carolina Physician Practices LLC, a 175-clinician group and accepts Medicare assignment. Licensed in Arkansas, California and Illinois.

Years since qualifying
26
Licensed in
AR, CA, IL
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1970 Roanoke Blvd Dept OF Cardiology
Salem, VA 24153-6404
Phone: (540) 982-2463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence E-7924 (AR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125-053685 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence A111744 (CA)

Record details

NPI number1710177506
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2007
Last updated in NPPESNovember 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Dlp Western Carolina Physician Practices Llc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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