MICHAEL NELLAMATTATHIL D.O. NPI 1316309537

NPI Information

  • NPI: 1316309537
  • Provider Name: MICHAEL NELLAMATTATHIL, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2650 RIDGE AVE.
    DEPT. OF RADIOLOGY
    EVANSTON, IL
    ZIP 60201
  • Phone: (847) 570-2477

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NPI Details

Michael Nellamattathil, D.O. is a diagnostic radiology radiology in Evanston, IL with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael Nellamattathil, D.O. NPI is 1316309537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2016

The provider's business location address is:

2650 RIDGE AVE.
DEPT. OF RADIOLOGY
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2477
Fax: (847) 570-2942

The NPI 1316309537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)

The enumeration date for this NPI number is 3/26/2016 and was last updated on 4/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody Imaging036155190ILLINOISNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32085R0202XRadiologyDiagnostic Radiology036155190ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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