DR. ELIZABETH KALLIATH D.M.D.
NPI 1467868455
Dentist in Chicago, IL

Q: What is Elizabeth Kalliath's NPI number?

The NPI number for Elizabeth Kalliath is 1467868455. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Q: What is Elizabeth Kalliath's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Elizabeth Kalliath enrolled in Medicare?

No. Elizabeth Kalliath has opted out of Medicare through January 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since July 10, 2014Opted out of Medicare · through Jan 7, 2027

111 N WABASH AVE, CHICAGO, IL 60602(312) 236-3633 Get Directions Write a Review

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

On this page

About Dr. Elizabeth Kalliath D.m.d. NPPES

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

DR. ELIZABETH KALLIATH D.M.D. (NPI 1467868455) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.029879) and active in the NPI registry since July 2014. She has opted out of Medicare through January 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467868455

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. ELIZABETH KALLIATHCredential: D.M.D.

Location Address111 N WABASH AVEChicago, IL 60602-1903

Mailing Address111 N Wabash Ave Ste 1820Chicago, IL 60602-2973 · (256) 810-1987

Phone(312) 236-3633

Sole ProprietorNo

Enumeration DateJuly 10, 2014

Last NPPES UpdateMarch 16, 2026

NPPES CertifiedMarch 16, 2026

✔ NPI 1467868455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.029879

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

111 N WABASH AVE, Chicago, IL 60602

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Elizabeth Kalliath D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2019 through January 7, 2027.

Opt-Out Effective DateJanuary 7, 2019

Opt-Out In Effect ThroughJanuary 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60602 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

DR. KATRINA I BROW AU.D.

Audiologist (Assistive Technology Supplier)

111 N WABASH AVE, SUITE 1618
CHICAGO, IL 60602

Cook County (312) 251-0100

MG DENTISTRY

Dentist (General Practice)

111 N WABASH AVE, 1820
CHICAGO, IL 60602

Cook County (312) 236-3633

ROBERT A. LEVINE, M.D., S.C.

Ophthalmology

111 N WABASH AVE, 2102
CHICAGO, IL 60602

Cook County (312) 332-2889

LAURA ESTRADA MA, LPC

Counselor (Mental Health)

111 N WABASH AVE
CHICAGO, IL 60602

Cook County (320) 295-6734

CANDACE COOK-BEY

Social Worker

111 N WABASH AVE
CHICAGO, IL 60602

Cook County (224) 277-1755

STEPHANIE SCHNAUFER

Dietitian, Registered

111 N WABASH AVE, SUITE #100, MAILBOX #3660
CHICAGO, IL 60602

Cook County (224) 616-0561

INCLUSIVE THERAPIES

Social Worker (Clinical)

111 N WABASH AVE
CHICAGO, IL 60602

Cook County (312) 487-1543

DR. JAMES C SHEININ MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

111 N WABASH AVE, #1216
CHICAGO, IL 60602

Cook County (312) 346-1891

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 Kalliath's NPI number?

The NPI number for Elizabeth Kalliath is 1467868455. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Elizabeth Kalliath located?

Elizabeth Kalliath practices at 111 N Wabash Ave, Chicago, IL 60602. The listed phone number is (312) 236-3633.

What is Elizabeth Kalliath's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Elizabeth Kalliath enrolled in Medicare?

No. Elizabeth Kalliath has opted out of Medicare through January 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Elizabeth Kalliath was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.