Individual provider Active NPI

Lyn Mattathil, MD

  • Pediatrics Physician
  • Battle Creek, MI
National Provider Identifier
1346981586
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301514354 Issued in MI
Practice address
4520 Beckley Rd
Battle Creek, MI 49015-7941
Phone
(269) 969-8723
NPI assigned
Apr 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301514354 MI Primary
Pediatrics Physician 208000000X 4351049473 MI
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4520 Beckley Rd
Battle Creek, MI 49015-7941

Mailing address

4520 Beckley Rd
Battle Creek, MI 49015-7941
Phone (269) 969-8723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609001097 MI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7416335039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301514354MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cereal City Pediatrics Pediatrics PastSince Jun 23, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1346981586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157941",
            "telephone_number": "269-969-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157941",
            "telephone_number": "269-969-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTATHIL",
        "first_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301514354",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4351049473",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.