MICHAEL THOMAS MONTICCIOLO DO
NPI 1689914954
Emergency Medicine in Ottawa, IL

Q: What is Michael Monticciolo's NPI number?

The NPI number for Michael Monticciolo is 1689914954. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Q: What is Michael Monticciolo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since February 25, 2013PECOS EnrolledAccepts Medicare Assignment

1100 E NORRIS DR, OTTAWA, IL 61350(815) 433-3100(815) 433-0879 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 20, 2025, Jun 28, 2017 (2 updates tracked since 2017).

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About Michael Thomas Monticciolo Do NPPES

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

MICHAEL THOMAS MONTICCIOLO DO (NPI 1689914954) is an individual emergency medicine provider in Ottawa, Illinois, licensed in Illinois (036172367) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689914954

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMICHAEL THOMAS MONTICCIOLOCredential: DO

Location Address1100 E NORRIS DROttawa, IL 61350

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(815) 433-3100

Fax(815) 433-0879

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 25, 2013

Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1689914954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036172367✔ Licensed in MI · 5101020253✔ Licensed in IN · 02008680A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1100 E NORRIS DR, Ottawa, IL 61350

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Secondary Practice Locations 2

Location 136475 Five Mile RdLivonia, MI 48154-1971 · Phone (734) 655-2727

Location 211700 N Meridian StCarmel, IN 46032-4656 · Phone (317) 688-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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

Michael Thomas Monticciolo Do 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 ID5294035515

PECOS Enrollment IDI20170717001765, I20251124000349

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.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

234 services227 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

57 services56 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

53 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150161

Location11700 N Meridian StCarmel, IN 46032 · Hamilton County

Emergency services Birthing friendly

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230002

Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61350 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 20

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

DR. ANASTASIA LVOVNA KHOUBAEVA M.D.

Emergency Medicine