Michael Nellamattathil, DO in Evanston, IL - Medicare Diagnostic Radiology

Michael Nellamattathil, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Evanston, Illinois. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice North Shore University Healthsystem Faculty Practice Associates and his current practice location is 2650 Ridge Ave., Dept. Of Radiology, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2477.

Michael Nellamattathil is licensed to practice in Illinois (license number 036155190) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316309537.

Contact Information

	Michael Nellamattathil, DO
	2650 Ridge Ave., Dept. Of Radiology, Evanston, IL 60201
	(847) 570-2477
	(847) 570-2942

Map and Direction

Physician's Profile

Full Name	Michael Nellamattathil
Gender	Male
Speciality	Diagnostic Radiology
Experience	8 Years
Location	2650 Ridge Ave., Evanston, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Nellamattathil attended and graduated from Philadelphia College Of Osteopathic Medicine in 2016

NPI Data:

NPI Number: 1316309537
Provider Enumeration Date: 03/26/2016
Last Update Date: 04/08/2022

Medicare PECOS Information:

PECOS PAC ID: 8325333297
Enrollment ID: I20210615003675

Medical Identifiers

Medical identifiers for Michael Nellamattathil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316309537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	036155190 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085R0202X	Radiology - Diagnostic Radiology	036155190 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Swedish Covenant Hospital	Chicago, IL	Hospital
Northwest Community Hospital 1	Arlington heights, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore University Healthsystem Faculty Practice Associates	2163334699	1751

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Nellamattathil allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Nellamattathil is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michael Nellamattathil, DO 2650 Ridge Ave., Dept. Of Radiology, Evanston, IL 60201 Ph: (847) 570-2477	Michael Nellamattathil, DO 2650 Ridge Ave., Dept. Of Radiology, Evanston, IL 60201 Ph: (847) 570-2477

Reviews and Comments

Radiology Doctors in Evanston, IL

Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Jacob Seth Ecanow, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Radiology, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942

Michael Nellamattathil, DO - Medicare Diagnostic Radiology in Evanston, IL