DR. EBY ISON THEKKEDATH DO
NPI 1063973659
Internal Medicine - Sleep Medicine in Ann Arbor, MI

Q: 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.

Q: What is Eby Thekkedath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Q: When was this NPI record last updated?

The NPPES record for Eby Thekkedath was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since March 27, 2019PECOS Enrolled

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-9068(734) 936-5377 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 sleep medicine provider in Ann Arbor, Michigan, licensed in Michigan (5101028492) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063973659

Entity TypeIndividualMale

Primary Taxonomy207RS0012X

Provider Legal NameDR. EBY ISON THEKKEDATHCredential: DO

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address653-1 W 8th St # L18Jacksonville, FL 32209-6511 · (904) 383-1003 · Fax (904) 244-7388

Phone(734) 936-9068

Fax(734) 936-5377

Sole ProprietorNo

Enumeration DateMarch 27, 2019

Last NPPES UpdateJuly 11, 2025

NPPES CertifiedJuly 11, 2025

✔ NPI 1063973659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in MI · 5101028492

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eby Ison Thekkedath Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-9068.

What is Eby Thekkedath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Eby Thekkedath enrolled in Medicare?

Yes. Eby Thekkedath is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eby Thekkedath was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.