Chandy Ellimoottil, MD - Medicare Urology in Ann Arbor, MI

Chandy Ellimoottil, MD is a medicare enrolled "Urology" physician in Ann Arbor, Michigan. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Urology. He is a member of the group practice Regents Of The University Of Michigan and his current practice location is 1500 E Medical Center Drive, 2nd Floor Taubman Center Recp C, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 936-2047.

Chandy Ellimoottil is licensed to practice in Michigan (license number 4301107020) 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 1699903245.

Contact Information

Chandy Ellimoottil, MD
1500 E Medical Center Drive, 2nd Floor Taubman Center Recp C,
Ann Arbor, MI 48108
(734) 936-2047
Not Available



Physician's Profile

Full NameChandy Ellimoottil
GenderMale
SpecialityUrology
Experience15 Years
Location1500 E Medical Center Drive, Ann Arbor, Michigan
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:
  • Chandy Ellimoottil attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1699903245
  • Provider Enumeration Date: 06/22/2009
  • Last Update Date: 06/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4981917440
  • Enrollment ID: I20150714000298

Medical Identifiers

Medical identifiers for Chandy Ellimoottil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699903245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 125056933 (Illinois)Secondary
208800000XUrology 4301107020 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Michigan Health SystemAnn arbor, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The University Of Michigan37794968562953

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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. Chandy Ellimoottil allows following entities to bill medicare on his behalf.
Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437184884
PECOS PAC ID: 3779496856
Enrollment ID: O20031121000193

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Entity NameHamilton Community Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386624278
PECOS PAC ID: 1254249196
Enrollment ID: O20031203000286

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Entity NameMymichigan Medical Center Midland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205889490
PECOS PAC ID: 2264323633
Enrollment ID: O20040324000137

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Entity NameMymichigan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689623506
PECOS PAC ID: 4981501939
Enrollment ID: O20060727000013

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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. Chandy Ellimoottil 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
Chandy Ellimoottil, MD
3621 S State St, 700 Kms Place,
Ann Arbor, MI 48108

Ph: (734) 936-2047
Chandy Ellimoottil, MD
1500 E Medical Center Drive, 2nd Floor Taubman Center Recp C,
Ann Arbor, MI 48108

Ph: (734) 936-2047

News Archive

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Novartis to highlight strength of its expanded oncology portfolio at ASCO 2015

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Urology Doctors in Ann Arbor, MI

Dr. Vesna Ivancic, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, 4th Floor Clinic B Room 4807, Ann Arbor, MI 48109
Phone: 734-936-7030    
Kristin Lynn Chrouser, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 East Medical Center Dr, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109
Phone: 734-936-7030    
Miriam Hadj-moussa, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Bahaa Sami Malaeb, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Linda L Mcintire, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 4540 Boulder Pond Dr, Ann Arbor, MI 48108
Phone: 734-222-1644    
Dr. Ted Albert Skolarus, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 East Medical Center Dr, B1 Floor Cancer & Geriatrics Center Recp C, Ann Arbor, MI 48109
Phone: 734-647-8903    
Sapan Nitin Ambani, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    

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