CHANDY ELLIMOOTTIL MD – NPI #1699903245
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

CHANDY ELLIMOOTTIL is an urologist located in ANN ARBOR, MI. NPPES has assigned the NPI number 1699903245 to CHANDY ELLIMOOTTIL on June 22, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name CHAD ELLIMOOTTIL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 11 years ago on Jun 24, 2015. 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 CHANDY ELLIMOOTTIL below.

NPI Profile for
CHANDY ELLIMOOTTIL

NPI Number
1699903245
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHANDY ELLIMOOTTIL
Other Name: CHAD ELLIMOOTTIL
Credentials
MD
Primary location
1500 E MEDICAL CENTER DRIVE
2ND FLOOR TAUBMAN CENTER RECP C
ANN ARBOR, MI 48108
Phone: (734) 936-2047 Fax:
Mailing address
3621 S STATE ST
700 KMS PLACE
ANN ARBOR, MI 48108
Phone: (734) 936-2047 Fax:
Sole Proprietor
No
Updated
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
208800000X
- Urology (Primary)		 MI 4301107020
208600000X
- Surgery		 IL 125056933

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
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE - Graduated 2009
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
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
CHANDY ELLIMOOTTIL is affiliated with the following medical group(s):
  • HOSPITAL
    • MERCY HEALTH HACKLEY CAMPUS
      125 E SOUTHERN
      MUSKEGON, MI 49442
    • UNIVERSITY OF MICHIGAN HEALTH SYSTEM
      1500 E MEDICAL CENTER DRIVE, SPC 5474
      ANN ARBOR, MI 48109

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