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JOSEPH KIZHAKKADATHU
NPI 1851081608
Physician Assistant - Surgical in Highland Park, IL

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
757 PARK AVE W, HIGHLAND PARK, IL 60035(847) 570-1700 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, May 15, 2023 (2 updates tracked since 2023).

About Joseph Kizhakkadathu NPPES

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

JOSEPH KIZHAKKADATHU (NPI 1851081608) is an individual surgical provider in Highland Park, Illinois, licensed in Illinois (085009965) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1851081608
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOSEPH KIZHAKKADATHU
Location Address757 PARK AVE WHighland Park, IL 60035-2556
Mailing Address757 Park Ave WHighland Park, IL 60035-2556 · (847) 570-1700
Phone(847) 570-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2023
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1851081608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085009965
Also ListedPhysician AssistantTaxonomy 363A00000X
757 PARK AVE W, Highland Park, IL 60035
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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 and accepts Medicare assignment

Joseph Kizhakkadathu 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 ID7416301502
PECOS Enrollment IDI20230922002114
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

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.

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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

BRITT ERIKA HANSON DO
Internal Medicine (Medical Oncology)
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 480-3800
JANET R CHOI MD
Psychiatry & Neurology (Neurology)
757 PARK AVE W, SUITE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 570-2570
STACEY ILLYSE BECKER PA-C
Physician Assistant
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 570-2112
DR. MATTHEW ERIC ADESS MD
Internal Medicine (Medical Oncology)
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 480-3800
LINDA ADVINCULA APN-CNP
Nurse Practitioner
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 480-3800
MARIE DREYER
Internal Medicine (Hematology & Oncology)
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 570-2112

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 Joseph Kizhakkadathu's NPI number?

The NPI number for Joseph Kizhakkadathu is 1851081608. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Joseph Kizhakkadathu located?

Joseph Kizhakkadathu practices at 757 Park Ave W, Highland Park, IL 60035. The listed phone number is (847) 570-1700.

What is Joseph Kizhakkadathu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Joseph Kizhakkadathu enrolled in Medicare?

Yes. Joseph Kizhakkadathu 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 Joseph Kizhakkadathu affiliated with any hospitals?

According to CMS data, Joseph Kizhakkadathu is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Kizhakkadathu was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.