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DR. IRENE THOMAS-THEVATHERIL MD
NPI 1336190529
Family Medicine in Lisle, IL

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
3080 OGDEN AVE STE 204, LISLE, IL 60532(630) 734-0580(630) 734-0581 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2021, Mar 1, 2021 (2 updates tracked since 2021).

About Dr. Irene Thomas-thevatheril Md NPPES

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

DR. IRENE THOMAS-THEVATHERIL MD (NPI 1336190529) is an individual family medicine provider in Lisle, Illinois, licensed in Illinois (36105417) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Adventist Hinsdale Hospital, and is a graduate of Baylor College Of Medicine (1998).

NPPES Registry Identity

NPI1336190529
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. IRENE THOMAS-THEVATHERILCredential: MD
Location Address3080 OGDEN AVE STE 204Lisle, IL 60532-1694
Mailing AddressPo Box 534Lisle, IL 60532-0534 · (630) 734-0580 · Fax (630) 734-0581
Phone(630) 734-0580
Fax(630) 734-0581
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1998
Enumeration DateMay 13, 2006
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1336190529 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 · 36105417
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.
3080 OGDEN AVE STE 204, Lisle, IL 60532
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Other Identifiers 1

Medicaid036105417IL

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. Irene Thomas-thevatheril Md 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 ID5092706754
PECOS Enrollment IDI20040520001304
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.

Hospital Affiliations CMS Care Compare

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

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60532 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 3

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

DR. MATTHEW E PILDITCH MD
Family Medicine
3080 OGDEN AVE STE 204
LISLE, IL 60532
Dupage County (630) 734-0580
CORNERSTONE FAMILY HEALTH S.C.
Preferred Provider Organization
3080 OGDEN AVE STE 204
LISLE, IL 60532
Dupage County (630) 734-0580
CORNERSTONE FAMILY HEALTHCARE
Family Medicine
3080 OGDEN AVE STE 204
LISLE, IL 60532
Dupage County (630) 734-0580

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 Irene Thomas-thevatheril's NPI number?

The NPI number for Irene Thomas-thevatheril is 1336190529. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Irene Thomas-thevatheril located?

Irene Thomas-thevatheril practices at 3080 Ogden Ave Ste 204, Lisle, IL 60532. The listed phone number is (630) 734-0580.

What is Irene Thomas-thevatheril's specialty?

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

Is Irene Thomas-thevatheril enrolled in Medicare?

Yes. Irene Thomas-thevatheril 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.

Is Irene Thomas-thevatheril affiliated with any hospitals?

According to CMS data, Irene Thomas-thevatheril is affiliated with Adventist Hinsdale Hospital.

When was this NPI record last updated?

The NPPES record for Irene Thomas-thevatheril was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.