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

Matthew Kottackal George, MD

Individual provider Surgical Critical Care Physician · NPI 1821484601

Matthew Kottackal George, MD is a Vascular Surgery in Rockford, Illinois. Qualified in 2015, 11 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
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

5666 E State St
Rockford, IL 61108-2425
Phone: (815) 226-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036.166381 (IL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 036166381 (IL)

Record details

NPI number1821484601
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address6421 Burberry Dr, Rockford, IL 61114-7807

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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