Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chandy Ellimoottil, MD

Individual provider Surgery Physician · NPI 1699903245

Chandy Ellimoottil, MD is an Urology in Ann Arbor, Michigan. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2009, 17 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Michigan.

Years since qualifying
17
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL, MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 E Medical Center Drive 2nd Fl Taubman Center Recp C
Ann Arbor, MI 48108
Phone: (734) 936-2047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301107020 (MI)
Surgery Physician Taxonomy 208600000X · Licence 125056933 (IL)

Record details

NPI number1699903245
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESJune 24, 2015
Mailing address3621 S State St, 700 Kms Place, Ann Arbor, MI 48108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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