NPIMap

Individual provider Active NPI

Kevin Thengumtharayil Mathew, DO

  • Diagnostic Radiology Physician
  • Elmhurst, IL
National Provider Identifier
1861982597
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036167646 Issued in IL
Practice address
155 E. Brush Hill Rd.
Department of Radiology
Elmhurst, IL 60126-5658
Phone
(331) 221-5420
Fax
(331) 221-3701
NPI assigned
May 17, 2018
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X U2564 TX
Diagnostic Radiology Physician 2085R0202X 036167646 IL Primary

Addresses

Primary practice location

155 E. Brush Hill Rd.
Department of Radiology
Elmhurst, IL 60126-5658

Mailing address

PO Box 713160
Chicago, IL 60677-0360
Phone (262) 292-3151

Other practice location 1

7435 W Talcott Ave
Chicago, IL 60677-5510
Phone (773) 774-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230712003968 TX Practitioner - Diagnostic Radiology 5799145470 Reassigns benefits to 3 organizations
I20240611003708 IL Practitioner - Diagnostic Radiology 5799145470 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Campbell Univ School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians

Practice addresses (Care Compare)

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020

2650 Ridge Ave
Evanston, IL 60201-1700

2739 W Foster Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (281) 742-0469

3426 N Kilbourn Ave
Chicago, IL 60641-3804
Phone (847) 637-8711

5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803

5140 N California Ave
Chicago, IL 60625-3645

5145 N California
Hosps Suite 331
Chicago, IL 60625-3661
Phone (847) 570-2280

5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

861 W Roscoe St
Apt 3
Chicago, IL 60657-9881
Phone (281) 742-0469

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036167646ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Radiological Association CurrentSince Apr 30, 2026 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jul 17, 2025 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Precision Radiology - Illinois LTD CurrentSince Jul 16, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2023 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

9532 Eagle Way
Chicago, IL 60678

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

10057 County Road 472
Anna, TX 75409

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: kmathew288499@direct.edward.org

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 11

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1861982597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713160",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770360",
            "telephone_number": "262-292-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E. BRUSH HILL RD.",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "331-221-5420",
            "fax_number": "331-221-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7435 W Talcott Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606775510",
            "country_code": "US",
            "telephone_number": "773-774-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "KEVIN",
        "middle_name": "THENGUMTHARAYIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U2564",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036167646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.