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MATHEW JOSE KALLOOKULANGARA M.D.
NPI 1912998642
Internal Medicine in South Bend, IN

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
615 N MICHIGAN ST FL 1, SOUTH BEND, IN 46601(574) 647-3050(574) 647-1094 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2021, Mar 17, 2020, Sep 19, 2017 and 1 more (4 updates tracked since 2016).

About Mathew Jose Kallookulangara M.d. NPPES

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

MATHEW JOSE KALLOOKULANGARA M.D. (NPI 1912998642) is an individual internal medicine provider in South Bend, Indiana, licensed in Indiana (01059944A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1912998642
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATHEW JOSE KALLOOKULANGARACredential: M.D.
Location Address615 N MICHIGAN ST FL 1South Bend, IN 46601-1033
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 647-3050
Fax(574) 647-1094
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 2, 2005
Last NPPES UpdateMarch 31, 20214 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1912998642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01059944A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
615 N MICHIGAN ST FL 1, South Bend, IN 46601
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Other Identifiers 1

Medicaid200520890IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mathew Jose Kallookulangara M.d. 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 ID3779555875
PECOS Enrollment IDI20050701000337
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 6

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.
393 services144 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
198 services99 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
111 services109 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.
56 services55 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.
34 services34 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$16.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$83.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. STACEY JOHNSTON MD
Hospitalist
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
PATRICIA C OSMOLAK M.D.
Internal Medicine
615 N MICHIGAN ST FL 1, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
REBECCA S. BYERS NP
Nurse Practitioner (Neonatal)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
KIRK JON BODACH MD
Hospitalist
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
DR. JONATHAN YOUNG JI M.D.
Psychiatry & Neurology (Neurology)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1610
KATRINA GREGG
Nurse Practitioner (Family)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1100
HAIDONG BAO M.D.
Internal Medicine
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
GARRETT MUHLSTADT DO
Family Medicine
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050

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 Mathew Kallookulangara's NPI number?

The NPI number for Mathew Kallookulangara is 1912998642. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Mathew Kallookulangara located?

Mathew Kallookulangara practices at 615 N Michigan St Fl 1, South Bend, IN 46601. The listed phone number is (574) 647-3050.

What is Mathew Kallookulangara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mathew Kallookulangara enrolled in Medicare?

Yes. Mathew Kallookulangara 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 Mathew Kallookulangara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mathew Kallookulangara 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 Mathew Kallookulangara affiliated with any hospitals?

According to CMS data, Mathew Kallookulangara is affiliated with Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Mathew Kallookulangara was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.