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

Michael G Nellamattathil, DO

Individual provider Body Imaging Physician · NPI 1316309537

Michael G Nellamattathil, DO is a Diagnostic Radiology in Evanston, Illinois. Graduated from Philadelphia College of Osteopathic Medicine in 2016, 10 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
10
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
FL, IL
In the registry since
2016
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2650 Ridge Ave Dept OF Radiology
Evanston, IL 60201
Phone: (847) 570-2477
Fax: (847) 570-2942
Show map & directions

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

Additional practice locations (3)

  • 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 — (813) 875-3950
  • 676 N Saint Clair St Ste 800, Chicago, IL 60611-2978 — (312) 695-5753
  • 836 W Wellington Ave, Chicago, IL 60657-5147 — (773) 296-5424

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036155190 (IL)
Body Imaging Physician Taxonomy 2085B0100X · Licence 036155190 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence OS23944 (FL)

Record details

NPI number1316309537
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 26, 2016
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address2650 Ridge Ave, Evanston, IL 60201-1700

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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