Jacob Kalliath, D.O.
NPI 1134569395ActiveIndividual· Internal Medicine· Olympia Fields, IL
Internal Medicine (D.O.) in Olympia Fields, Illinois, trained at Nova Southeastern College of Osteo Medicine (class of 2013). In 2024 Medicare paid $72,345 for 198 patients, and Part D covered 170 of their prescriptions, 82% of them generic.
Overview
| NPI | 1134569395 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jul 2, 2013 |
| Last updated in NPPES | Oct 30, 2020 |
| Certified by provider | Oct 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 12506386 | IL |
| Internal Medicine | 207R00000X | DR0057617 | CO |
| Internal Medicine | 207R00000X | 02005206A | IN |
| Hospitalist | 208M00000X | 036138730 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (AZ); Practitioner - Internal Medicine (IL); Practitioner - Internal Medicine (WA); Practitioner - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 198 |
|---|---|
| Services billed | 854 across 24 procedure codes |
| Paid by Medicare | $72,345 |
Part D prescriptions in 2024
| Prescriptions (claims) | 170 · 180 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $14,728 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | Nova Southeastern College of Osteo Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Internal Medicine |
Medical group
- Chelan County Public Hospital District No 2Chelan, WA · 24 clinicians
Hospital affiliation
- Lake Chelan Community HospitalChelan, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 28 internal medicine physicians in Olympia Fields · All internal medicine physicians in Illinois