DR. MADHU MATHEW MD
NPI 1366971152
Internal Medicine - Gastroenterology in Winfield, IL

Q: What is Madhu Mathew's NPI number?

The NPI number for Madhu Mathew is 1366971152. It was assigned to this individual provider in the NPPES registry on June 6, 2017. The provider is also known as Madhu Mathew Vennikandam.

Q: What is Madhu Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Madhu Mathew was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 06, 2017PECOS EnrolledAccepts Medicare Assignment

25 N WINFIELD RD STE 420, WINFIELD, IL 60190(630) 682-8700(630) 352-5582 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, Oct 1, 2024, Jul 1, 2021 and 3 more (6 updates tracked since 2017).

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About Dr. Madhu Mathew Md NPPES

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

DR. MADHU MATHEW MD (NPI 1366971152) is an individual gastroenterology provider in Winfield, Illinois, licensed in Illinois (036161943) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366971152

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MADHU MATHEWCredential: MD

Location Address25 N WINFIELD RD STE 420Winfield, IL 60190-1379

Mailing Address9208 Ida LnMorton Grove, IL 60053-1416 · (224) 388-9918

Phone(630) 682-8700

Fax(630) 352-5582

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 6, 2017

Last NPPES UpdateJuly 27, 20266 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1366971152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in IL · 036161943✔ Licensed in MI · 4301503970

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

25 N WINFIELD RD STE 420, Winfield, IL 60190

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Other Names 1

Other Name (5)Madhu Mathew Vennikandam

Secondary Practice Locations 2

Location 11215 E Michigan AveLansing, MI 48912-1811 · Phone (517) 364-3522 · Fax (517) 364-2763

Location 21880 W Winchester Rd Ste 201Libertyville, IL 60048-5336 · Phone (847) 247-0187

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Madhu Mathew 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 ID8820363674

PECOS Enrollment IDI20240927001079

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.

Medicare Billing Reassignments

Medicare enrollment records show Madhu Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwestern Medical Faculty Foundation

13 mi

Multi-Specialty

DEPT 5777
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
4,817 clinicians in this Medicare group

NPI 1346235314 (855) 694-2866

Gi Partners Of Illinois, PLLC

31 mi

Gastroenterology

1880 W WINCHESTER RD, #201
Libertyville, IL 60048

Reassigned Medicare billing, Illinois enrollment
74 clinicians in this Medicare group

NPI 1548613995 (847) 247-0187

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

16 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60190 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

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 13

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

MRS. JUCY TIESENGA NP

Nurse Practitioner