Dr Boney Mattathethu Ninan, MD in Chicago, IL

Dr Boney Mattathethu Ninan, MD is a medicare enrolled "Internal Medicine" physician in Chicago, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 1900 W Polk St, Medicine, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 864-7203.

Dr Boney Mattathethu Ninan is licensed to practice in Illinois (license number 125057406) 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 1811204019.

Contact Information

	Dr Boney Mattathethu Ninan, MD
	1900 W Polk St, Medicine, Chicago, IL 60612-3723
	(312) 864-7203
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Boney Mattathethu Ninan
Gender	Male
Speciality	Internal Medicine
Experience	19 Years
Location	1900 W Polk St, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Boney Mattathethu Ninan graduated from medical school in 2005

NPI Data:

NPI Number: 1811204019
Provider Enumeration Date: 09/09/2010
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 5092001321
Enrollment ID: I20160912002491

Medical Identifiers

Medical identifiers for Dr Boney Mattathethu Ninan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811204019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125057406 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital, Riverside	Riverside, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Dr Boney Mattathethu Ninan allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Dr Boney Mattathethu Ninan 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 Address	Practice Location Address
Dr Boney Mattathethu Ninan, MD 1548 W Harrison St, Apt 3 B, Chicago, IL 60607-3169 Ph: (630) 398-1030	Dr Boney Mattathethu Ninan, MD 1900 W Polk St, Medicine, Chicago, IL 60612-3723 Ph: (312) 864-7203

Reviews and Comments

Internal Medicine Doctors in Chicago, IL

Dr. Sorin C Danciu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722
Anoopa A. Koshy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000
William Edmond Gerardi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060
Suparna Dutta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568
Alexandra Dumitrescu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200
Dr. Mitesh Mahesh Kabadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020
Dr. Marta Batus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192

Dr Boney Mattathethu Ninan, MD - Medicare Internal Medicine in Chicago, IL