Pushpa K Mamtani, MD - Medicare Pediatrics in Ottawa, IL

Pushpa K Mamtani, MD is a medicare enrolled "Pediatrics" physician in Ottawa, Illinois. Her current practice location is 1614 E Norris Dr, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 433-1010.

Pushpa K Mamtani is licensed to practice in Michigan (license number 4301503653) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376527168.

Contact Information

Pushpa K Mamtani, MD
1614 E Norris Dr,
Ottawa, IL 61350-3681
(815) 433-1010
(815) 433-0067

Map and Direction




Physician's Profile

Full NamePushpa K Mamtani
GenderFemale
SpecialityPediatrics
Location1614 E Norris Dr, Ottawa, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376527168
  • Provider Enumeration Date: 12/05/2005
  • Last Update Date: 01/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032160395
  • Enrollment ID: I20050203000349

Medical Identifiers

Medical identifiers for Pushpa K Mamtani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376527168NPI-NPPES
036064091MedicaidIL
01932040OtherILBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 36 064091 (Illinois)Secondary
208000000XPediatrics 4301503653 (Michigan)Primary

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. Pushpa K Mamtani allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Pushpa K Mamtani 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 AddressPractice Location Address
Pushpa K Mamtani, MD
1614 E Norris Dr,
Ottawa, IL 61350-3681

Ph: () -
Pushpa K Mamtani, MD
1614 E Norris Dr,
Ottawa, IL 61350-3681

Ph: (815) 433-1010

Reviews and Comments


Pediatrics Doctors in Ottawa, IL

Dr. Amar Lal Dave, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1209 Starfire Dr, Ste #1, Ottawa, IL 61350
Phone: 815-434-2115    Fax: 815-434-2116
Dr. Alejandro Marchini, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1614 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-1010    
Dr. Melissa Marie Dubert Hill, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1306 Gemini Cir Ste 1, Ottawa, IL 61350
Phone: 815-433-9200    Fax: 815-705-1716

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.