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DR. ANDREW VALLIYIL MD
NPI 1760046007
Hospitalist in Beloit, WI

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
1969 W HART RD, BELOIT, WI 53511(608) 364-5689 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2022, Apr 23, 2019 (2 updates tracked since 2019).

About Dr. Andrew Valliyil Md NPPES

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

DR. ANDREW VALLIYIL MD (NPI 1760046007) is an individual hospitalist provider in Beloit, Wisconsin, licensed in West Virginia (400) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Heartland Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760046007
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ANDREW VALLIYILCredential: MD
Location Address1969 W HART RDBeloit, WI 53511-2298
Mailing Address1969 W Hart RdBeloit, WI 53511-2298 · (608) 364-5689
Phone(608) 364-5689
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 23, 2019
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1760046007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WV · 400
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1969 W HART RD, Beloit, WI 53511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Quartz.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

Dr. Andrew Valliyil 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 ID5395120406
PECOS Enrollment IDI20220909001812, I20250829003954
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 5

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.

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.
519 services194 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
162 services144 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
98 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

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. USMAN SARWAR M.D.
Internal Medicine (Cardiovascular Disease)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5011
JESSICA M. FRANTZ CCC/SLP
Speech-Language Pathologist
1969 W HART RD, BELOIT HEALTH SYSTEM INC/ BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Rock County (608) 364-5695
MRS. CAROL J KATROSCIK MSW LCSW
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
MRS. SALLY J GREER MS LPC
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
YEHIA A. KHOGA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
MIGUEL A JIMENEZ MD
Radiology (Diagnostic Radiology)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5269
STACY HEITZ PA-C
Physician Assistant
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5011
STEVEN STEPHEN CHOUNG MD
Anesthesiology
1969 W HART RD, BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Rock County (608) 362-7444

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 Andrew Valliyil's NPI number?

The NPI number for Andrew Valliyil is 1760046007. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Andrew Valliyil located?

Andrew Valliyil practices at 1969 W Hart Rd, Beloit, WI 53511. The listed phone number is (608) 364-5689.

What is Andrew Valliyil's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrew Valliyil enrolled in Medicare?

Yes. Andrew Valliyil 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.

What insurance does Andrew Valliyil accept?

Health plans from Group Health Cooperative-SCW and Quartz list Andrew Valliyil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Valliyil affiliated with any hospitals?

According to CMS data, Andrew Valliyil is affiliated with Heartland Regional Medical Center and Beloit Health System.

When was this NPI record last updated?

The NPPES record for Andrew Valliyil was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.