Individual provider Active NPI

George Issac Plamoottil, M.D.

  • Emergency Medicine Physician
  • Mattoon, IL
National Provider Identifier
1447510805
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036138116 Issued in IL
Practice address
1000 Health Center Dr
Mattoon, IL 61938-9261
Phone
(217) 258-2551
Fax
(217) 258-2256
NPI assigned
May 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036138116 IL Primary

Addresses

Primary practice location

1000 Health Center Dr
Mattoon, IL 61938-9261

Mailing address

1005 Health Center Dr Ste 201
Mattoon, IL 61938-4693
Phone (217) 238-6055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150804005468 IL Practitioner - Emergency Medicine 3779897749 Reassigns benefits to 4 organizations
I20220504000990 TX Practitioner - Emergency Medicine 3779897749 Reassigns benefits to 7 organizations
I20220601000652 FL Practitioner - Emergency Medicine 3779897749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Emergency Services Physician Group PAGroup PAC ID 0749447936, 71 clinicians
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

1500 S Main St
1St FL Outpatient
Ft. Worth, TX 76104-4917
Phone (817) 702-3431

4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000

4700 Alliance Blvd
Plano, TX 75093-5323
Phone (469) 814-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036138116ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Physicians Group Services PA Current Accepting new patients
Physicians Group Services PA CurrentSince Sep 1, 2025 Accepting new patients
Physicians Group Services PA CurrentSince Sep 1, 2025 Accepting new patients
Level One Emergency Specialists LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 14, 2017 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Mar 11, 2022 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 29, 2018 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 5, 2023 Accepting new patients
Level One Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 29, 2018 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 20, 2015 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 5, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 14, 2017 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Mar 13, 2024 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Ies Carrollton PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Titanium Emergency Group LLP Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Telescope Health LLC Emergency Medicine CurrentSince Apr 22, 2024 Accepting new patients
Telescope Health Medical Group, P.a. Emergency Medicine Past Accepting new patients

Locations (25 of 56)

10250 Normandy Blvd
Unit 802
Jacksonville, FL 32221
Phone (904) 379-7155

841 Prudential Dr
Unit 1410
Jacksonville, FL 32207
Phone (904) 373-5304

7855 Argyle Forest Blvd
Ste 601
Jacksonville, FL 32244
Phone (904) 570-9404

14810 Old St Augustine Rd
Ste 208
Jacksonville, FL 32258
Phone (904) 260-4111

5445 Norwood Ave
Jacksonville, FL 32208
Phone (904) 765-7075

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

14011 Beach Blvd
Ste 120
Jacksonville Beach, FL 32250
Phone (904) 223-6400

3839 County Road 218
Middleburg, FL 32068
Phone (904) 282-5474

1555 Kingsley Ave
Ste 601
Orange Park, FL 32073
Phone (904) 264-0264

421 Kingsley Ave
Ste 300
Orange Park, FL 32073
Phone (904) 621-0643

1689 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 269-1366

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1122 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 466-8200

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3500 Gaston Ave
Dallas, TX 75246

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: gplamoottil73747@unitedregional.medalliesdirect.net
  • Direct secure messaging: george.plamoottil.1@19957.direct.athenahealth.com
  • Direct secure messaging: george.plamoottil.1@25110.direct.athenahealth.com
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: george.plamoottil.1@24008.direct.athenahealth.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1447510805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HEALTH CENTER DR STE 201",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384693",
            "telephone_number": "217-238-6055",
            "fax_number": "217-258-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389261",
            "telephone_number": "217-258-2551",
            "fax_number": "217-258-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAMOOTTIL",
        "first_name": "GEORGE",
        "middle_name": "ISSAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-20",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036138116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.