DR. EBY ISON THEKKEDATH DO
NPI 1063973659
Internal Medicine - Pulmonary Disease in Atlanta, GA
About Dr. Eby Ison Thekkedath Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EBY ISON THEKKEDATH DO (NPI 1063973659) is an individual pulmonary disease provider in Atlanta, Georgia, licensed in Georgia (114135) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Eby Ison Thekkedath Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eby Thekkedath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eby Thekkedath's NPI number?
The NPI number for Eby Thekkedath is 1063973659. It was assigned to this individual provider in the NPPES registry on March 27, 2019.
Where is Eby Thekkedath located?
Eby Thekkedath practices at 275 Collier Rd NW Ste 300, Atlanta, GA 30309. The listed phone number is (404) 350-0009.
What is Eby Thekkedath's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Eby Thekkedath enrolled in Medicare?
Yes. Eby Thekkedath is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eby Thekkedath's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eby Thekkedath reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eby Thekkedath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eby Thekkedath was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Eby Ison Thekkedath, DO · NPI 1063973659
Pulmonary Disease physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1063973659 (Entity type: Individual)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 114135 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 COLLIER RD NW STE 300, Atlanta, GA 30309-1740
- **Phone:** (404) 350-0009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063973659) · Data from the CMS NPPES public registry.