DR. NIBY MATHEW M.D.
NPI 1184869125
Family Medicine in Frankfort, IL

Active since December 04, 2008PECOS EnrolledAccepts Medicare Assignment
23120 S LAGRANGE RD, FRANKFORT, IL 60423(815) 464-5440 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Sep 22, 2022 (2 updates tracked since 2022).

About Dr. Niby Mathew M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIBY MATHEW M.D. (NPI 1184869125) is an individual family medicine provider in Frankfort, Illinois, licensed in Illinois (125-051772) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1184869125
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NIBY MATHEWCredential: M.D.
Location Address23120 S LAGRANGE RDFrankfort, IL 60423-7760
Mailing Address23120 S Lagrange RdFrankfort, IL 60423-7760 · (815) 464-5440
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 4, 2008
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1184869125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 125-051772
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23120 S LAGRANGE RD, Frankfort, IL 60423

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Niby Mathew M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648320671
PECOS Enrollment IDI20090611000727
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
233 services120 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
74 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services32 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
22 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60423 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
23120 S LAGRANGE RD
FRANKFORT, IL 60423
Family Medicine
23120 S LAGRANGE RD
FRANKFORT, IL 60423
Internal Medicine (Hematology & Oncology)
23120 S LAGRANGE RD
FRANKFORT, IL 60423
Family Medicine
23120 S LAGRANGE RD
FRANKFORT, IL 60423

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 Niby Mathew's NPI number?

The NPI number for Niby Mathew is 1184869125. It was assigned to this individual provider in the NPPES registry on December 4, 2008.

Where is Niby Mathew located?

Niby Mathew practices at 23120 S Lagrange Rd, Frankfort, IL 60423. The listed phone number is (815) 464-5440.

What is Niby Mathew's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Niby Mathew enrolled in Medicare?

Yes. Niby Mathew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Niby Mathew accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Niby Mathew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Niby Mathew affiliated with any hospitals?

According to CMS data, Niby Mathew is affiliated with Palos Community Hospital, Riverside Medical Center, Advocate Christ Hospital & Medical Center and Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Niby Mathew was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.