Jacob Kalliath, DO - Medicare Internal Medicine in Olympia Fields, IL

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Jacob Kalliath, DO is a medicare enrolled "Internal Medicine" physician in Olympia Fields, Illinois. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 20201 Crawford Ave, Olympia Fields, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 679-2160.

Jacob Kalliath is licensed to practice in Illinois (license number 12506386) 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 1134569395.

Contact Information

Jacob Kalliath, DO
20201 Crawford Ave,
Olympia Fields, IL 60461
(708) 679-2160
(708) 679-2161

Map and Direction




Physician's Profile

Full NameJacob Kalliath
GenderMale
SpecialityInternal Medicine
Experience11 Years
Location20201 Crawford Ave, Olympia Fields, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Kalliath attended and graduated from Nova Southeastern College Of Osteo Medicine in 2013
  NPI Data:
  • NPI Number: 1134569395
  • Provider Enumeration Date: 07/02/2013
  • Last Update Date: 10/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486947421
  • Enrollment ID: I20170119002900

Medical Identifiers

Medical identifiers for Jacob Kalliath such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134569395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DR0057617 (Colorado)Secondary
207R00000XInternal Medicine 02005206A (Indiana)Secondary
208M00000XHospitalist 036138730 (Illinois)Secondary
207R00000XInternal Medicine 12506386 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Richland HospitalRichland center, WIHospital

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. Jacob Kalliath allows following entities to bill medicare on his behalf.
Entity NameRural Physicians Group-pannu Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861808719
PECOS PAC ID: 0345467486
Enrollment ID: O20150930000691
Entity NameRural Physicians Group-pannu Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891236584
PECOS PAC ID: 0345467486
Enrollment ID: O20170327000054
Entity NameLight Matter Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457816332
PECOS PAC ID: 1850633231
Enrollment ID: O20190509001715

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. Jacob Kalliath 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
Jacob Kalliath, DO
10624 S. Eastern Ave #263a,
Henderson, NV 89052

Ph: (760) 684-0407		Jacob Kalliath, DO
20201 Crawford Ave,
Olympia Fields, IL 60461

Ph: (708) 679-2160

Reviews and Comments


Internal Medicine Doctors in Olympia Fields, IL

Mr. Praneet Satyendra Mylavarapu, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461
Phone: 708-855-7297    Fax: 708-503-3296
Chintan Shah, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461
Phone: 708-747-4000    
Albara Said, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3302 Vollmer Rd, Olympia Fields, IL 60461
Phone: 708-898-0811    Fax: 708-898-1839
Anand Kumar Gupta, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461
Phone: 708-679-2160    Fax: 708-679-2161
Dr. Matthew L Kamin, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461
Phone: 708-679-2670    Fax: 708-503-3260
Dr. Ronald J Innerfield, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3700 W 203rd St Ste 310, Olympia Fields, IL 60461
Phone: 708-679-2130    Fax: 708-679-2260
Dr. Edward Joseph Winter, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 20945 Cambridge Ln, Olympia Fields, IL 60461
Phone: 708-747-6929    Fax: 708-747-6929

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.