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

Mathew M Edavettal, MD

Individual provider Surgery Physician · NPI 1467680454

Mathew M Edavettal, MD is a General Surgery in Lancaster, Pennsylvania. Graduated from Louisiana State University School of Medicine in New Orleans in 2001, 25 years ago. Practices with Sacred Heart Health System Inc, a 373-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
25
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
PA
In the registry since
2009
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

555 N Duke St
Lancaster, PA 17602-2250
Phone: (717) 544-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD437555 (PA)

Record details

NPI number1467680454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESJune 29, 2009

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2001 (25 years in practice)
Group practice Sacred Heart Health System Inc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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