MICHAEL T. MONTICCIOLO DO – NPI #1689914954
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

MICHAEL MONTICCIOLO is a physician located in OTTAWA, IL. NPPES has assigned the NPI number 1689914954 to MICHAEL MONTICCIOLO on February 25, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Nov 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL MONTICCIOLO below.

NPI Profile for
MICHAEL T. MONTICCIOLO

NPI Number
1689914954
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL T. MONTICCIOLO
Credentials
DO
Primary location
1100 E NORRIS DR
OTTAWA, IL 61350
Phone: (815) 433-3100 Fax: (815) 433-0879
2 Other location(s):
11700 N Meridian St
Carmel, IN 46032-4656
Phone: (317) 688-2000
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone: (734) 655-2727
Mailing address
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Nov 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 MI 5101020253
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
11700 N MERIDIAN ST,
CARMEL, IN 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL MONTICCIOLO is affiliated with the following medical group(s):
  • HOSPITAL
    • ST JOE MERCY HOSPITAL SYSTEM LIVONIA
      36475 FIVE MILE ROAD
      LIVONIA, MI 48154

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.