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LIZAMMA MATHEW NP
NPI 1497831549
Nurse Practitioner - Adult Health in Chicago, IL

Active since October 31, 2006PECOS Enrolled
1901-WEST-HARRISON STREET, CHICAGO, IL 60612(312) 864-6000(312) 864-9765 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lizamma Mathew Np NPPES

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

LIZAMMA MATHEW NP (NPI 1497831549) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209-004591) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497831549
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLIZAMMA MATHEWCredential: NP
Location Address1901-WEST-HARRISON STREETChicago, IL 60612
Mailing Address1685 Holly AveNorthbrook, IL 60062-5021 · (312) 864-3400 · Fax (312) 864-9765
Phone(312) 864-6000
Fax(312) 864-9765
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateApril 27, 2021
NPPES CertifiedApril 27, 2021
✔ NPI 1497831549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209-004591
1901-WEST-HARRISON STREET, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lizamma Mathew Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Lizamma Mathew's NPI number?

The NPI number for Lizamma Mathew is 1497831549. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Lizamma Mathew located?

Lizamma Mathew practices at 1901-West-Harrison Street, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Lizamma Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lizamma Mathew enrolled in Medicare?

Yes. Lizamma Mathew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lizamma Mathew was last updated on April 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.