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

Michael Thomas Monticciolo, DO

Individual provider Emergency Medicine Physician · NPI 1689914954

Michael Thomas Monticciolo, DO is an Emergency Medicine in Ottawa, Illinois. Qualified in 2013, 13 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Michigan.

Years since qualifying
13
Licensed in
IL, IN, MI
In the registry since
2013
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.

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Practice location Address checks out

1100 E Norris Dr
Ottawa, IL 61350
Phone: (815) 433-3100
Fax: (815) 433-0879
Show map & directions

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

Additional practice locations (2)

  • 11700 N Meridian St, Carmel, IN 46032-4656 — (317) 688-2000
  • 36475 Five Mile Rd, Livonia, MI 48154-1971 — (734) 655-2727

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036172367 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101020253 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 02008680A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689914954
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 25, 2013
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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