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ELIZABETH J PUTHENVEETIL M.D.
NPI 1417058256
Family Medicine in Galesburg, IL

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
1707 N HENDERSON ST, GALESBURG, IL 61401(309) 343-1000(309) 344-1054 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth J Puthenveetil M.d. NPPES

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

ELIZABETH J PUTHENVEETIL M.D. (NPI 1417058256) is an individual family medicine provider in Galesburg, Illinois and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1417058256
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH J PUTHENVEETILCredential: M.D.
Location Address1707 N HENDERSON STGalesburg, IL 61401-1320
Mailing Address1707 N Henderson StGalesburg, IL 61401-1320 · (309) 343-1000 · Fax (309) 344-1054
Phone(309) 343-1000
Fax(309) 344-1054
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417058256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1707 N HENDERSON ST, Galesburg, IL 61401
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Other Names 1

Former Name (1)Elizabeth J Mathal M.d.

Other Identifiers 6

Other7191392Aetna
Medicare ID-Type Unspecified530390
Other4815127Bc/bs
Medicare UPINH76079
Other11053987IL · Caqh
Other364271985-29John Deere

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

Elizabeth J Puthenveetil 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 ID6507852977
PECOS Enrollment IDI20040421001455
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.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 2

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

MARK A WIECHERT M.D.
Emergency Medicine
1707 N HENDERSON ST
GALESBURG, IL 61401
Knox County (309) 343-1000
ST. MARY MEDICAL CENTER
General Acute Care Hospital (Rural)
1707 N HENDERSON ST
GALESBURG, IL 61401
Knox County (309) 343-1000

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 Elizabeth Puthenveetil's NPI number?

The NPI number for Elizabeth Puthenveetil is 1417058256. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Elizabeth J Mathal M.D..

Where is Elizabeth Puthenveetil located?

Elizabeth Puthenveetil practices at 1707 N Henderson St, Galesburg, IL 61401. The listed phone number is (309) 343-1000.

What is Elizabeth Puthenveetil's specialty?

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

Is Elizabeth Puthenveetil enrolled in Medicare?

Yes. Elizabeth Puthenveetil 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 Elizabeth Puthenveetil affiliated with any hospitals?

According to CMS data, Elizabeth Puthenveetil is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Puthenveetil was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.