MICHAEL NELLAMATTATHIL D.O. – NPI #1316309537
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

MICHAEL NELLAMATTATHIL is a radiologist located in EVANSTON, IL. NPPES has assigned the NPI number 1316309537 to MICHAEL NELLAMATTATHIL on March 26, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, 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 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on Apr 08, 2022. 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 NELLAMATTATHIL below.

NPI Profile for
MICHAEL NELLAMATTATHIL

NPI Number
1316309537
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL NELLAMATTATHIL
Credentials
D.O.
Primary location
2650 RIDGE AVE.
DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Phone: (847) 570-2477 Fax: (847) 570-2942
2 Other location(s):
676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone: (312) 695-5753
Fax: (312) 695-5645
836 W Wellington Ave
Chicago, IL 60657-5147
Phone: (773) 296-5424
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Mar 29, 2022

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 IL 036155190
390200000X
- Student in an Organized Health Care Education/Training Program
2085B0100X
- Radiology / Body Imaging		 IL 036155190

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.

Additional Information

Education
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 2016
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 NELLAMATTATHIL is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
      2650 RIDGE AVE
      EVANSTON, IL 60201
    • NORTHWESTERN LAKE FOREST HOSPITAL
      1000 N WESTMORELAND ROAD
      LAKE FOREST, IL 60045

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.